WEBVTT 00:00:00.000 --> 00:00:04.440 Now we're going to go into the mental health world. 00:00:09.120 --> 00:00:10.599 Yesterday we went to the Valley of Vision. 00:00:11.919 --> 00:00:13.599 ! It's a book of Puritan prayers. 00:00:15.740 --> 00:00:17.920 This is one of the prayers in Valley of Vision. 00:00:18.780 --> 00:00:18.019 ! 00:00:30.000 --> 00:00:38.219 Interestingly, he uses the word mentally ill, 00:00:39.120 --> 00:00:40.079 the concept mentally ill, 00:00:40.280 --> 00:00:44.939 and this is probably 1630 or 40 00:00:44.939 --> 00:00:48.359 when this is written. 00:00:49.079 --> 00:00:52.859 So this idea of mental illness is not new. 00:00:54.280 --> 00:00:56.219 What it means, how it's understood, 00:00:56.560 --> 00:00:57.900 has changed dramatically. 00:00:57.899 --> 00:01:00.420 But it's not new. 00:01:01.399 --> 00:01:03.719 If you're ministering to people in this culture, 00:01:03.859 --> 00:01:06.039 in some way you're going to engage 00:01:06.039 --> 00:01:08.079 what I would call the mental health world. 00:01:12.180 --> 00:01:13.659 Whether you're ministering to people 00:01:13.659 --> 00:01:14.900 who are taking psychiatric medications, 00:01:15.840 --> 00:01:18.079 sorting through mental health diagnoses, 00:01:18.759 --> 00:01:20.799 struggling with issues that raise question 00:01:20.799 --> 00:01:23.420 about whether they might need inpatient care, 00:01:24.079 --> 00:01:26.120 it can be a confusing world. 00:01:26.120 --> 00:01:29.060 So what we're trying to do is we're trying to look at 00:01:29.060 --> 00:01:33.120 the experience of people in the mental health world 00:01:33.120 --> 00:01:35.680 and how we relate to it 00:01:35.680 --> 00:01:37.600 and how we can minister within it. 00:01:38.020 --> 00:01:40.140 When we looked at the previous world, 00:01:40.439 --> 00:01:42.159 the worldview areas, 00:01:42.700 --> 00:01:44.640 what really was required, I think, 00:01:44.700 --> 00:01:46.280 was theological discernment. 00:01:46.380 --> 00:01:48.360 You need to be in theological discernment, 00:01:49.080 --> 00:01:50.280 biblically informed, 00:01:51.100 --> 00:01:53.939 gospel-oriented theological discernment 00:01:53.939 --> 00:01:57.120 into understanding those worldviews. 00:01:57.700 --> 00:01:59.340 When you're in this world, 00:01:59.519 --> 00:02:02.219 you'd be more of the category of biblical wisdom. 00:02:02.400 --> 00:02:04.560 How do we understand how to relate to this? 00:02:04.980 --> 00:02:08.020 Because this is a stream-level reality 00:02:08.020 --> 00:02:09.579 for a lot of people. 00:02:10.439 --> 00:02:12.280 You may have had your own experiences 00:02:12.280 --> 00:02:13.500 or people in your family. 00:02:14.300 --> 00:02:16.000 I've had members of my family 00:02:16.000 --> 00:02:19.659 committed to institutional care. 00:02:22.680 --> 00:02:24.419 I've had issues in my family 00:02:24.419 --> 00:02:26.000 with other kind of mental health disorders. 00:02:26.800 --> 00:02:29.139 So it's not hard to see. 00:02:32.439 --> 00:02:33.500 The big picture, 00:02:33.599 --> 00:02:35.420 how do we come into contact with this world? 00:02:36.000 --> 00:02:37.060 Just some ways. 00:02:37.360 --> 00:02:39.159 You might have parents who are told 00:02:39.159 --> 00:02:40.780 they have a child with learning 00:02:40.780 --> 00:02:42.280 or behavioral disorder 00:02:42.280 --> 00:02:44.379 like Asperger's or ADD or ADHD. 00:02:45.259 --> 00:02:46.800 People struggling with depression 00:02:46.800 --> 00:02:48.140 and anxiety attacks. 00:02:50.080 --> 00:02:52.460 You have teens 00:02:52.460 --> 00:02:54.080 who are self-destructive behaviors 00:02:54.080 --> 00:02:54.819 or relationships 00:02:54.819 --> 00:02:56.920 or unable to control emotional responses. 00:02:57.439 --> 00:02:58.400 Suicidal people. 00:02:58.860 --> 00:03:00.699 People who are susceptible to delusions. 00:03:01.580 --> 00:03:03.800 Addictions requiring inpatient treatment. 00:03:04.400 --> 00:03:05.340 A legal situation 00:03:05.340 --> 00:03:07.099 requiring a psychiatric evaluation 00:03:07.099 --> 00:03:07.920 or assessment. 00:03:08.539 --> 00:03:09.420 A mental breakdown 00:03:09.419 --> 00:03:10.659 non-necessicating interventions 00:03:10.659 --> 00:03:11.619 or hospitalizations. 00:03:12.280 --> 00:03:14.199 Self-destructive bipolar behavior. 00:03:14.719 --> 00:03:15.759 Postpartum depression. 00:03:16.319 --> 00:03:17.639 Profound grief and loss. 00:03:17.779 --> 00:03:18.299 PTSD. 00:03:18.959 --> 00:03:20.459 Early onset Alzheimer's. 00:03:21.119 --> 00:03:23.079 You'll find this all around you. 00:03:24.099 --> 00:03:26.279 This idea that we live in a world 00:03:26.279 --> 00:03:28.079 where understanding 00:03:28.879 --> 00:03:31.039 what is the mental health issue related. 00:03:31.539 --> 00:03:32.560 And I would see that, 00:03:33.479 --> 00:03:34.399 well I think, 00:03:34.759 --> 00:03:36.439 you can tell I'm not a huge fan 00:03:36.439 --> 00:03:38.819 of Western materialistic culture. 00:03:39.419 --> 00:03:42.419 I am very grateful 00:03:42.419 --> 00:03:45.359 in this affluent culture 00:03:45.359 --> 00:03:47.000 that we have a mental health system. 00:03:48.339 --> 00:03:49.599 I'm very grateful 00:03:49.599 --> 00:03:51.619 that people don't just simply suffer 00:03:51.619 --> 00:03:54.159 without help. 00:03:54.839 --> 00:03:56.819 Because it is profound suffering. 00:03:57.819 --> 00:03:58.699 So things considered 00:03:58.699 --> 00:04:00.299 in the area of mental health, 00:04:00.379 --> 00:04:01.679 we need to be able to interact 00:04:01.679 --> 00:04:02.579 with the world of psychology 00:04:02.579 --> 00:04:03.419 without integrating. 00:04:03.539 --> 00:04:04.539 We talked about that before. 00:04:05.000 --> 00:04:05.759 Same goes here. 00:04:05.759 --> 00:04:07.759 psychiatric pharmacology 00:04:08.479 --> 00:04:10.139 is a common go-to option 00:04:10.139 --> 00:04:10.919 when other things 00:04:10.919 --> 00:04:11.939 don't seem to be working. 00:04:12.699 --> 00:04:13.759 But it can't change 00:04:14.439 --> 00:04:15.759 all that needs to be changed 00:04:16.339 --> 00:04:18.639 to resolve complex problems. 00:04:18.639 --> 00:04:22.139 I like to compare 00:04:22.139 --> 00:04:23.500 the mental health, 00:04:23.740 --> 00:04:24.979 social services field 00:04:24.979 --> 00:04:28.680 with the legal 00:04:28.680 --> 00:04:30.219 or law enforcement world 00:04:30.219 --> 00:04:32.439 as a system 00:04:32.439 --> 00:04:35.439 of dealing with people 00:04:35.439 --> 00:04:37.759 in their troubles. 00:04:38.759 --> 00:04:39.839 They're both systems 00:04:39.839 --> 00:04:41.199 that are social responses 00:04:41.199 --> 00:04:42.699 to life in a sense that 00:04:42.699 --> 00:04:45.079 you don't enter those systems 00:04:45.079 --> 00:04:46.740 if everything is going okay. 00:04:46.740 --> 00:04:49.100 At their very best, 00:04:49.180 --> 00:04:50.600 they extend common grace, 00:04:51.300 --> 00:04:52.400 but they'll never have 00:04:52.400 --> 00:04:53.800 redemptive impact 00:04:53.800 --> 00:04:56.319 apart from the intervening mercy 00:04:56.319 --> 00:04:58.100 and saving grace of God. 00:04:59.000 --> 00:05:00.280 They are limited. 00:05:01.300 --> 00:05:02.879 They're both complex 00:05:02.879 --> 00:05:04.379 and bewildering to people 00:05:04.379 --> 00:05:05.400 who find themselves 00:05:05.400 --> 00:05:06.939 having to engage in them. 00:05:07.360 --> 00:05:08.500 If you've ever walked 00:05:08.500 --> 00:05:11.120 with somebody through a trial, 00:05:11.939 --> 00:05:13.100 a legal trial, 00:05:13.100 --> 00:05:15.420 you will find that it is 00:05:15.420 --> 00:05:20.540 a very unsatisfying 00:05:20.540 --> 00:05:20.920 experience. 00:05:21.920 --> 00:05:23.120 The system itself 00:05:23.120 --> 00:05:24.240 makes it unsatisfying. 00:05:26.320 --> 00:05:27.060 And it's bewildering. 00:05:27.260 --> 00:05:27.780 Why is this? 00:05:27.840 --> 00:05:28.580 What are all these terms? 00:05:28.660 --> 00:05:29.280 What does this mean? 00:05:29.700 --> 00:05:31.400 Who do I talk to? 00:05:31.420 --> 00:05:31.980 Who do I go to? 00:05:32.320 --> 00:05:33.379 Who's in charge? 00:05:34.520 --> 00:05:35.560 It's very similar. 00:05:35.560 --> 00:05:40.180 These systems, 00:05:40.300 --> 00:05:41.019 the mental health system 00:05:41.019 --> 00:05:41.899 and the legal system, 00:05:41.899 --> 00:05:43.360 are full of gaps 00:05:43.360 --> 00:05:44.759 in quality of service. 00:05:46.160 --> 00:05:47.620 Competence in those fields 00:05:47.620 --> 00:05:49.040 can vary tremendously. 00:05:50.259 --> 00:05:51.300 So you might end up 00:05:51.300 --> 00:05:54.019 with a wonderful attorney 00:05:54.019 --> 00:05:56.000 or a terrible attorney. 00:05:56.139 --> 00:05:56.800 You might end up 00:05:56.800 --> 00:05:58.600 with a wonderful therapist 00:05:58.600 --> 00:06:00.560 or a wonderful psychologist 00:06:00.560 --> 00:06:03.019 or a terrible psychologist. 00:06:03.079 --> 00:06:03.879 I'll give you a quick story. 00:06:03.879 --> 00:06:06.159 I had a man 00:06:06.159 --> 00:06:09.319 who was attending our church 00:06:09.319 --> 00:06:14.339 and he wasn't really involved, 00:06:15.339 --> 00:06:17.860 but he had a work-related accident 00:06:17.860 --> 00:06:20.180 where a propane tank 00:06:20.180 --> 00:06:21.219 blew up in his face 00:06:21.219 --> 00:06:24.259 and it burned his face off. 00:06:26.259 --> 00:06:31.040 And so he needed... 00:06:31.040 --> 00:06:33.019 So I got involved 00:06:33.019 --> 00:06:34.819 and I ended up going over there 00:06:34.819 --> 00:06:36.180 once a week 00:06:36.180 --> 00:06:37.099 for about a year. 00:06:37.939 --> 00:06:38.719 He just all banged up. 00:06:38.740 --> 00:06:39.659 I didn't know what he looked like 00:06:39.659 --> 00:06:41.000 because he was banged up. 00:06:42.759 --> 00:06:44.279 The fascinating thing about it 00:06:44.279 --> 00:06:45.639 is that he had had 00:06:45.639 --> 00:06:47.180 this lifelong skin condition 00:06:47.180 --> 00:06:48.680 which meant his skin 00:06:48.680 --> 00:06:49.959 was constantly flaking. 00:06:50.599 --> 00:06:51.859 And it actually created 00:06:51.859 --> 00:06:53.319 a regenerative experience 00:06:53.319 --> 00:06:54.560 of his face returning. 00:06:55.719 --> 00:06:56.560 So that was amazing. 00:06:56.779 --> 00:06:57.099 Wow. 00:06:57.100 --> 00:06:59.520 You couldn't tell today 00:06:59.520 --> 00:07:00.260 that he had any... 00:07:00.260 --> 00:07:00.520 Wow. 00:07:00.939 --> 00:07:01.500 But he was living. 00:07:01.740 --> 00:07:03.700 His ears were burning off 00:07:03.700 --> 00:07:05.460 and everything sort of returned. 00:07:06.260 --> 00:07:07.220 But what happened 00:07:07.220 --> 00:07:08.320 is because of this, 00:07:08.580 --> 00:07:10.200 it was such a trauma for him 00:07:10.200 --> 00:07:11.500 that he had a psychiatrist 00:07:11.500 --> 00:07:14.540 who prescribed medication 00:07:14.540 --> 00:07:15.980 to deal with the trauma. 00:07:16.260 --> 00:07:17.760 So long after he started getting 00:07:17.760 --> 00:07:19.400 physically better 00:07:19.400 --> 00:07:20.920 and everything came off, 00:07:21.660 --> 00:07:23.879 he still was just this kind of shell. 00:07:23.879 --> 00:07:27.259 And we were talking about, 00:07:27.360 --> 00:07:28.279 well, maybe you need to talk 00:07:28.279 --> 00:07:29.699 to the psychiatrist 00:07:29.699 --> 00:07:30.680 about your medication. 00:07:31.740 --> 00:07:33.480 And so finally he called 00:07:33.480 --> 00:07:34.060 the psychiatrist 00:07:34.060 --> 00:07:35.600 and the guy had left. 00:07:35.779 --> 00:07:36.620 He just quit. 00:07:37.699 --> 00:07:38.779 He never told his patients 00:07:38.779 --> 00:07:39.379 that he needed anything. 00:07:39.480 --> 00:07:40.100 He just quit. 00:07:40.939 --> 00:07:42.159 And so he had to scramble 00:07:42.159 --> 00:07:43.219 to find another psychiatrist. 00:07:43.379 --> 00:07:44.319 That psychiatrist said, 00:07:44.819 --> 00:07:46.139 this guy was medicating 00:07:46.139 --> 00:07:46.959 you into a living. 00:07:47.719 --> 00:07:47.959 Wow. 00:07:48.339 --> 00:07:49.500 He changed his medication 00:07:49.500 --> 00:07:50.420 and within two weeks 00:07:50.420 --> 00:07:51.560 he was coherent and fine. 00:07:51.800 --> 00:07:52.100 Wow. 00:07:52.100 --> 00:07:55.560 I'm not blaming the system for that. 00:07:55.640 --> 00:07:56.080 I'm just saying 00:07:56.080 --> 00:07:57.720 in complex systems 00:07:57.720 --> 00:07:58.760 you have, 00:07:59.280 --> 00:07:59.740 you have, 00:08:00.320 --> 00:08:01.340 not everything works 00:08:01.340 --> 00:08:02.300 the way it's meant to work. 00:08:03.820 --> 00:08:05.780 Laws that govern these systems 00:08:05.780 --> 00:08:07.660 can be difficult to navigate. 00:08:08.740 --> 00:08:10.640 There are federal, state, county, 00:08:10.700 --> 00:08:11.660 and municipal laws 00:08:11.660 --> 00:08:12.879 that make where you live 00:08:12.879 --> 00:08:15.540 crucial to what you receive. 00:08:16.600 --> 00:08:18.180 One of the biggest examples of that 00:08:18.180 --> 00:08:21.080 is whether you live in a city 00:08:21.079 --> 00:08:22.199 or outside of the city. 00:08:23.479 --> 00:08:24.979 The services you're able 00:08:24.979 --> 00:08:26.180 to get in Philadelphia 00:08:26.180 --> 00:08:28.740 are not nearly as good 00:08:28.740 --> 00:08:29.699 as the services you're able 00:08:29.699 --> 00:08:30.979 to get in the surrounding counties 00:08:30.979 --> 00:08:32.399 which are more affluent. 00:08:34.299 --> 00:08:37.439 And the overwhelming nature 00:08:37.439 --> 00:08:38.439 of the services, 00:08:38.960 --> 00:08:41.460 of the need in most urban areas 00:08:41.460 --> 00:08:43.340 mean that they're stretched 00:08:43.340 --> 00:08:44.860 far more than if you go 00:08:44.860 --> 00:08:49.019 to a suburban facility. 00:08:49.960 --> 00:08:51.480 Money matters significantly 00:08:51.480 --> 00:08:52.840 in the quality of what we receive. 00:08:53.120 --> 00:08:54.440 That may mean cash 00:08:54.440 --> 00:08:55.740 or may mean just insurance. 00:08:55.899 --> 00:08:57.419 You have good insurance or not. 00:08:58.519 --> 00:08:59.879 It can matter significantly. 00:09:00.740 --> 00:09:01.919 People who have access, 00:09:02.200 --> 00:09:03.519 have to access these systems 00:09:03.519 --> 00:09:04.919 are profoundly discouraged 00:09:04.919 --> 00:09:05.720 by their experience. 00:09:05.980 --> 00:09:07.259 Often they're, 00:09:07.399 --> 00:09:08.779 they may be their help ultimately. 00:09:08.779 --> 00:09:09.819 you have somebody 00:09:09.819 --> 00:09:12.500 who's in a civil suit. 00:09:13.100 --> 00:09:14.559 They sue an insurance company. 00:09:14.639 --> 00:09:15.600 They sue somebody. 00:09:16.000 --> 00:09:17.220 For years it drags out. 00:09:17.480 --> 00:09:18.339 At the end they get, 00:09:18.740 --> 00:09:19.399 they get a, 00:09:20.100 --> 00:09:21.339 they get some kind of settlement. 00:09:22.059 --> 00:09:23.559 But it's very unsatisfying 00:09:23.559 --> 00:09:23.879 for them. 00:09:24.079 --> 00:09:25.000 The system itself 00:09:25.000 --> 00:09:26.139 they felt was broken. 00:09:26.899 --> 00:09:27.740 Same can happen 00:09:27.740 --> 00:09:28.459 with the medical field. 00:09:28.639 --> 00:09:29.500 I have so many people, 00:09:29.980 --> 00:09:31.459 a lot of the people we get, 00:09:32.059 --> 00:09:32.720 we have what we call 00:09:32.720 --> 00:09:33.659 the bridge program 00:09:33.659 --> 00:09:34.600 which is our, 00:09:34.600 --> 00:09:34.879 our, 00:09:34.879 --> 00:09:37.100 it's an outreach program 00:09:37.100 --> 00:09:38.679 where people commonly do, 00:09:38.980 --> 00:09:39.980 it's evangelism. 00:09:40.840 --> 00:09:42.399 So many people are coming 00:09:42.399 --> 00:09:44.600 and they've, 00:09:44.799 --> 00:09:45.720 they're burnt out 00:09:45.720 --> 00:09:46.720 on the mental health system. 00:09:47.740 --> 00:09:49.419 I just don't have confidence anymore 00:09:49.419 --> 00:09:50.899 and I'm looking for something different. 00:09:51.159 --> 00:09:52.539 And that drives them to the church. 00:09:54.899 --> 00:09:56.620 And whether somebody's been involved 00:09:56.620 --> 00:09:57.600 in the legal system 00:09:57.600 --> 00:09:58.740 as a victim, 00:09:58.740 --> 00:10:00.659 as a perpetrator, 00:10:01.419 --> 00:10:03.600 or in the mental health system, 00:10:03.600 --> 00:10:07.600 they need care, 00:10:07.879 --> 00:10:08.320 humility, 00:10:08.480 --> 00:10:09.100 and support 00:10:09.100 --> 00:10:10.480 when they engage them. 00:10:11.120 --> 00:10:12.879 So if you know somebody 00:10:12.879 --> 00:10:14.100 who is involved 00:10:14.100 --> 00:10:15.000 in some sense 00:10:15.000 --> 00:10:16.180 in treatment 00:10:16.180 --> 00:10:17.100 in the mental health system 00:10:17.100 --> 00:10:18.060 and we'll kind of broaden 00:10:18.060 --> 00:10:18.879 that out what that means, 00:10:19.980 --> 00:10:20.940 just recognize 00:10:20.940 --> 00:10:22.580 they don't need 00:10:22.580 --> 00:10:24.639 your critique. 00:10:26.279 --> 00:10:27.340 It's hard. 00:10:27.460 --> 00:10:28.200 It's difficult. 00:10:28.779 --> 00:10:31.060 And it's very difficult 00:10:31.060 --> 00:10:31.660 to know 00:10:31.660 --> 00:10:32.860 how I get done. 00:10:32.860 --> 00:10:33.360 What is, 00:10:33.759 --> 00:10:34.740 how does this end? 00:10:35.019 --> 00:10:36.360 How do I get out of this? 00:10:38.680 --> 00:10:39.200 And so, 00:10:39.360 --> 00:10:41.460 so we want to have that in mind. 00:10:42.560 --> 00:10:42.820 So, 00:10:42.980 --> 00:10:43.779 these are reflections 00:10:43.779 --> 00:10:44.419 of components 00:10:44.419 --> 00:10:45.500 of the mental health world. 00:10:48.700 --> 00:10:49.139 Causality. 00:10:49.139 --> 00:10:52.059 One of the popular 00:10:52.059 --> 00:10:52.919 Christian critiques 00:10:52.919 --> 00:10:54.299 of psychological diagnosis 00:10:54.299 --> 00:10:56.199 is that 00:10:56.199 --> 00:10:57.939 this really isn't 00:10:57.939 --> 00:10:58.500 about a disease. 00:10:58.580 --> 00:10:59.220 We talked about, 00:10:59.419 --> 00:10:59.799 you know, 00:10:59.899 --> 00:11:00.720 everything that seems 00:11:00.720 --> 00:11:01.580 to be a disease 00:11:01.580 --> 00:11:03.179 in the mental health world. 00:11:03.620 --> 00:11:03.960 And so, 00:11:04.100 --> 00:11:05.120 Christians will often critique 00:11:05.120 --> 00:11:06.220 because there's no 00:11:06.220 --> 00:11:07.179 biological cause. 00:11:07.259 --> 00:11:08.340 How can there be a disease 00:11:08.340 --> 00:11:09.039 if there's no 00:11:09.039 --> 00:11:10.279 biological cause? 00:11:11.120 --> 00:11:12.759 We have to be very careful 00:11:12.759 --> 00:11:13.960 when we talk about causes. 00:11:15.200 --> 00:11:15.799 Be careful 00:11:15.799 --> 00:11:16.759 not to make statements 00:11:16.759 --> 00:11:17.819 like if you can't find 00:11:17.819 --> 00:11:18.379 an underlying 00:11:18.379 --> 00:11:19.639 biological cause, 00:11:19.899 --> 00:11:20.759 then it can't be 00:11:20.759 --> 00:11:21.980 considered a disease. 00:11:23.340 --> 00:11:24.259 It's scientifically 00:11:24.259 --> 00:11:24.960 short-sighted. 00:11:25.000 --> 00:11:25.379 Just because 00:11:25.379 --> 00:11:27.039 there is an identifiable 00:11:27.039 --> 00:11:28.159 underlying biology 00:11:28.159 --> 00:11:28.819 or condition 00:11:28.819 --> 00:11:29.539 known now 00:11:29.539 --> 00:11:30.139 does not mean 00:11:30.139 --> 00:11:31.039 there won't be one 00:11:31.039 --> 00:11:32.519 discovered in the future. 00:11:33.299 --> 00:11:34.340 It's also historically 00:11:34.340 --> 00:11:35.039 dubious. 00:11:36.200 --> 00:11:37.720 Medicine has always 00:11:37.720 --> 00:11:38.779 had a problem 00:11:38.779 --> 00:11:39.539 with disease, 00:11:39.860 --> 00:11:40.279 cause, 00:11:40.419 --> 00:11:41.360 cure concepts. 00:11:41.360 --> 00:11:44.379 Even today, 00:11:44.460 --> 00:11:44.740 there are a lot 00:11:44.740 --> 00:11:45.500 of medical conditions 00:11:45.500 --> 00:11:46.279 where there isn't 00:11:46.279 --> 00:11:47.340 a clear understanding 00:11:47.340 --> 00:11:47.960 of cause. 00:11:48.279 --> 00:11:49.139 Migraine headaches, 00:11:49.620 --> 00:11:50.440 fibromyalgia, 00:11:51.360 --> 00:11:52.159 Alzheimer's, 00:11:52.220 --> 00:11:53.279 chronic fatigue syndrome. 00:11:54.100 --> 00:11:54.539 Ultimately, 00:11:54.779 --> 00:11:55.680 a full biblical 00:11:55.680 --> 00:11:56.320 understanding 00:11:56.320 --> 00:11:57.039 of personhood 00:11:57.039 --> 00:11:58.060 is not confused 00:11:58.060 --> 00:11:58.720 by the lack 00:11:58.720 --> 00:11:59.279 of clarity 00:11:59.279 --> 00:12:00.200 on whether 00:12:00.200 --> 00:12:01.180 disease categories 00:12:01.180 --> 00:12:02.360 are appropriate 00:12:02.360 --> 00:12:03.560 for psychiatric 00:12:03.560 --> 00:12:04.300 mental health 00:12:04.300 --> 00:12:05.080 type problems. 00:12:05.639 --> 00:12:06.159 I don't think 00:12:06.159 --> 00:12:06.560 this is going to be 00:12:06.560 --> 00:12:06.960 a big issue, 00:12:07.200 --> 00:12:07.519 you guys, 00:12:07.580 --> 00:12:08.259 but in certain parts 00:12:08.259 --> 00:12:08.779 of the country, 00:12:09.180 --> 00:12:10.340 this is a huge issue 00:12:10.340 --> 00:12:12.379 because there's 00:12:12.379 --> 00:12:12.940 a tendency 00:12:12.940 --> 00:12:14.600 to make this 00:12:14.600 --> 00:12:14.960 about, 00:12:15.120 --> 00:12:15.200 well, 00:12:15.280 --> 00:12:16.200 it's clearly 00:12:16.200 --> 00:12:17.220 not medical 00:12:17.220 --> 00:12:18.639 because you can't 00:12:18.639 --> 00:12:19.220 find a cause, 00:12:19.320 --> 00:12:19.759 so therefore, 00:12:20.120 --> 00:12:21.320 it's all sin. 00:12:23.800 --> 00:12:24.519 We just don't 00:12:24.519 --> 00:12:24.860 go there. 00:12:25.700 --> 00:12:26.320 We don't go there. 00:12:27.220 --> 00:12:28.160 Is sin involved? 00:12:28.280 --> 00:12:28.560 Certainly, 00:12:28.700 --> 00:12:29.100 sin involved 00:12:29.100 --> 00:12:29.780 in everything we do 00:12:29.780 --> 00:12:30.639 and everything we experience, 00:12:31.139 --> 00:12:33.280 but we don't speak 00:12:33.280 --> 00:12:34.379 in terms of causality 00:12:34.379 --> 00:12:35.639 when we're dealing 00:12:35.639 --> 00:12:36.019 with this. 00:12:36.740 --> 00:12:37.580 What is mental 00:12:37.580 --> 00:12:38.120 illness? 00:12:38.720 --> 00:12:39.300 Let's start with 00:12:39.300 --> 00:12:39.500 terms. 00:12:39.600 --> 00:12:39.980 I was just reading 00:12:39.980 --> 00:12:40.600 about this fresh 00:12:40.600 --> 00:12:41.120 last night. 00:12:43.399 --> 00:12:44.200 Terms for mental 00:12:44.200 --> 00:12:44.960 illness are very 00:12:44.960 --> 00:12:46.740 fluid and there's 00:12:46.740 --> 00:12:47.279 a number of 00:12:47.279 --> 00:12:47.899 different terms 00:12:47.899 --> 00:12:48.700 that are overlapping 00:12:48.700 --> 00:12:50.000 conceptual meaning 00:12:50.000 --> 00:12:51.019 and actually work 00:12:51.019 --> 00:12:52.120 in different contexts. 00:12:55.940 --> 00:12:57.180 I'll just say this. 00:13:00.200 --> 00:13:01.080 Mental health, 00:13:01.360 --> 00:13:01.920 the definition 00:13:01.920 --> 00:13:02.300 of mental health, 00:13:02.340 --> 00:13:03.159 this is Dale Johnson 00:13:03.159 --> 00:13:04.460 who's ACBC. 00:13:05.019 --> 00:13:05.680 I think this is good. 00:13:05.779 --> 00:13:06.139 It's a long quote, 00:13:06.240 --> 00:13:06.700 but I think it's good. 00:13:06.700 --> 00:13:08.080 The definition 00:13:08.080 --> 00:13:09.500 of mental health 00:13:09.500 --> 00:13:10.020 is basically 00:13:10.020 --> 00:13:10.740 just regarding 00:13:10.740 --> 00:13:12.080 some sort of condition 00:13:12.080 --> 00:13:13.500 that an individual 00:13:13.500 --> 00:13:14.740 has that gives them 00:13:14.740 --> 00:13:15.540 some healthy 00:13:15.540 --> 00:13:16.440 state of being. 00:13:17.400 --> 00:13:18.240 The idea is 00:13:18.240 --> 00:13:19.080 we're to look 00:13:19.080 --> 00:13:20.560 at the social 00:13:20.560 --> 00:13:21.100 environment, 00:13:21.420 --> 00:13:21.860 we're to look 00:13:21.860 --> 00:13:22.580 at the context 00:13:22.580 --> 00:13:23.259 of a person 00:13:23.259 --> 00:13:24.540 and what is 00:13:24.540 --> 00:13:25.420 in the environment 00:13:25.420 --> 00:13:26.360 that provides 00:13:26.360 --> 00:13:27.100 for them a way 00:13:27.100 --> 00:13:28.200 to live healthily 00:13:28.200 --> 00:13:28.700 from a mental 00:13:28.700 --> 00:13:29.180 standpoint. 00:13:30.460 --> 00:13:31.360 What we must be 00:13:31.360 --> 00:13:32.160 careful of 00:13:32.160 --> 00:13:33.320 there is this. 00:13:33.320 --> 00:13:34.220 What do we mean 00:13:34.220 --> 00:13:34.759 when we talk 00:13:34.759 --> 00:13:35.420 about the term 00:13:35.420 --> 00:13:35.980 healthy? 00:13:37.040 --> 00:13:38.019 That's the question. 00:13:38.420 --> 00:13:39.160 Is the culture 00:13:39.160 --> 00:13:39.980 defining that? 00:13:40.080 --> 00:13:41.160 Is the individual 00:13:41.160 --> 00:13:42.019 defining that? 00:13:42.720 --> 00:13:43.560 What is healthy? 00:13:44.080 --> 00:13:46.080 What Josh is 00:13:46.080 --> 00:13:46.639 getting at 00:13:46.639 --> 00:13:47.519 in this 00:13:47.519 --> 00:13:47.940 is something 00:13:47.940 --> 00:13:48.560 you find 00:13:48.560 --> 00:13:49.379 a lot of times 00:13:49.379 --> 00:13:49.620 when you're 00:13:49.620 --> 00:13:50.300 trying to relate 00:13:50.300 --> 00:13:50.740 to this. 00:13:51.480 --> 00:13:52.720 These terms 00:13:52.720 --> 00:13:53.580 that are used 00:13:53.580 --> 00:13:54.300 are not, 00:13:54.620 --> 00:13:56.240 they're not 00:13:56.240 --> 00:13:57.800 scientifically specific. 00:13:58.080 --> 00:13:58.860 They're descriptive 00:13:58.860 --> 00:13:59.460 terms. 00:14:00.180 --> 00:14:00.840 And they're 00:14:00.840 --> 00:14:01.379 relative 00:14:01.379 --> 00:14:02.980 to other factors. 00:14:02.980 --> 00:14:04.220 So healthy 00:14:04.220 --> 00:14:06.420 is one of 00:14:06.420 --> 00:14:07.039 those terms. 00:14:07.379 --> 00:14:07.779 Certainly in 00:14:07.779 --> 00:14:08.440 a Western culture 00:14:08.440 --> 00:14:08.940 he says 00:14:08.940 --> 00:14:10.360 we see that 00:14:10.360 --> 00:14:11.120 what defines 00:14:11.120 --> 00:14:11.800 human health 00:14:11.800 --> 00:14:13.100 is does a 00:14:13.100 --> 00:14:13.740 person feel 00:14:13.740 --> 00:14:14.220 good about 00:14:14.220 --> 00:14:14.680 themselves. 00:14:14.879 --> 00:14:15.460 So he goes 00:14:15.460 --> 00:14:15.940 on and talks 00:14:15.940 --> 00:14:16.560 about that. 00:14:17.759 --> 00:14:18.019 And so 00:14:18.019 --> 00:14:18.600 whatever the 00:14:18.600 --> 00:14:19.800 culture thinks 00:14:19.800 --> 00:14:20.960 healthy is 00:14:20.960 --> 00:14:21.820 is the way 00:14:21.820 --> 00:14:22.560 we understand 00:14:22.560 --> 00:14:23.120 mental health. 00:14:24.460 --> 00:14:25.060 So different 00:14:25.060 --> 00:14:25.940 cultures have 00:14:25.940 --> 00:14:26.240 different 00:14:26.240 --> 00:14:26.860 understanding 00:14:26.860 --> 00:14:27.259 about what 00:14:27.259 --> 00:14:27.920 healthy is 00:14:27.920 --> 00:14:28.539 and wouldn't 00:14:28.539 --> 00:14:29.000 necessarily use 00:14:29.000 --> 00:14:29.560 those terms. 00:14:30.379 --> 00:14:30.779 The point 00:14:30.779 --> 00:14:31.180 I'm making, 00:14:31.259 --> 00:14:31.639 the point he 00:14:31.639 --> 00:14:32.240 tries to make 00:14:32.240 --> 00:14:34.659 here is 00:14:34.659 --> 00:14:35.120 the way 00:14:35.120 --> 00:14:35.539 we understand 00:14:35.539 --> 00:14:36.360 mental illness 00:14:36.360 --> 00:14:38.259 is when 00:14:38.259 --> 00:14:39.960 mental health 00:14:39.960 --> 00:14:40.600 is somehow 00:14:40.600 --> 00:14:42.200 impaired from 00:14:42.200 --> 00:14:42.980 what we 00:14:42.980 --> 00:14:43.940 generally in 00:14:43.940 --> 00:14:44.480 the culture 00:14:44.480 --> 00:14:44.919 will think 00:14:44.919 --> 00:14:45.600 it should be. 00:14:46.680 --> 00:14:47.240 The term 00:14:47.240 --> 00:14:47.779 mental illness 00:14:47.779 --> 00:14:48.200 is the 00:14:48.200 --> 00:14:49.039 common language 00:14:49.039 --> 00:14:49.480 to most 00:14:49.480 --> 00:14:49.919 people. 00:14:54.639 --> 00:14:55.320 American 00:14:55.320 --> 00:14:55.820 Psychiatric 00:14:55.820 --> 00:14:56.440 Association 00:14:56.440 --> 00:14:57.060 says mental 00:14:57.060 --> 00:14:57.419 illness 00:14:57.419 --> 00:14:58.539 refers collectively 00:14:58.539 --> 00:14:59.679 to all 00:14:59.679 --> 00:15:00.539 diagnosable 00:15:00.539 --> 00:15:01.740 mental disorders, 00:15:02.519 --> 00:15:03.500 health conditions 00:15:03.500 --> 00:15:04.159 involving 00:15:04.159 --> 00:15:05.419 significant changes 00:15:05.419 --> 00:15:06.059 in thinking, 00:15:06.240 --> 00:15:06.620 emotion, 00:15:06.819 --> 00:15:07.199 and or 00:15:07.199 --> 00:15:07.699 behavior, 00:15:08.579 --> 00:15:08.959 distress, 00:15:09.299 --> 00:15:09.519 and or 00:15:09.519 --> 00:15:10.079 problems 00:15:10.079 --> 00:15:10.939 functioning in 00:15:10.939 --> 00:15:11.779 social work 00:15:11.779 --> 00:15:12.699 and family 00:15:12.699 --> 00:15:13.360 activities. 00:15:14.360 --> 00:15:15.099 So that's 00:15:15.099 --> 00:15:15.519 how the 00:15:15.519 --> 00:15:16.159 APA 00:15:16.159 --> 00:15:16.919 defines 00:15:16.919 --> 00:15:17.519 mental 00:15:17.519 --> 00:15:18.179 illness. 00:15:19.919 --> 00:15:21.019 Some things 00:15:21.019 --> 00:15:21.319 from that 00:15:21.319 --> 00:15:21.839 definition. 00:15:23.039 --> 00:15:23.939 Note that 00:15:23.939 --> 00:15:24.899 mental illness 00:15:24.899 --> 00:15:25.779 is not a 00:15:25.779 --> 00:15:26.799 have or 00:15:26.799 --> 00:15:27.819 have not. 00:15:27.820 --> 00:15:29.120 condition. 00:15:30.260 --> 00:15:30.720 You don't 00:15:30.720 --> 00:15:31.240 have it 00:15:31.240 --> 00:15:31.860 or not 00:15:31.860 --> 00:15:32.420 have it. 00:15:33.540 --> 00:15:33.800 Mental 00:15:33.800 --> 00:15:34.340 illness is 00:15:34.340 --> 00:15:35.060 experienced 00:15:35.060 --> 00:15:35.960 in changes 00:15:35.960 --> 00:15:37.000 to a 00:15:37.000 --> 00:15:38.060 typical state 00:15:38.060 --> 00:15:39.240 of mental, 00:15:39.420 --> 00:15:39.800 emotional, 00:15:40.040 --> 00:15:40.420 cognitive, 00:15:40.580 --> 00:15:41.160 or relational 00:15:41.160 --> 00:15:42.820 function relative 00:15:42.820 --> 00:15:43.300 to that 00:15:43.300 --> 00:15:43.780 person's 00:15:43.780 --> 00:15:44.200 experience. 00:15:44.300 --> 00:15:44.420 So if 00:15:44.420 --> 00:15:44.800 someone is 00:15:44.800 --> 00:15:46.100 being assessed, 00:15:46.560 --> 00:15:47.040 they're looking 00:15:47.040 --> 00:15:47.480 at how 00:15:47.480 --> 00:15:48.300 does this 00:15:48.300 --> 00:15:49.020 person typically 00:15:49.020 --> 00:15:49.620 function, 00:15:50.180 --> 00:15:51.060 or how 00:15:51.060 --> 00:15:52.240 do people 00:15:52.240 --> 00:15:52.720 typically 00:15:52.720 --> 00:15:53.180 function, 00:15:53.360 --> 00:15:53.520 and where 00:15:53.520 --> 00:15:54.340 is deviant 00:15:54.340 --> 00:15:54.840 from that. 00:15:55.640 --> 00:15:56.480 That may 00:15:56.480 --> 00:15:57.400 be how 00:15:57.399 --> 00:15:58.179 something is 00:15:58.179 --> 00:15:58.779 assessed. 00:16:01.340 --> 00:16:01.659 Though it's 00:16:01.659 --> 00:16:02.059 technically 00:16:02.059 --> 00:16:02.959 diagnosed this 00:16:02.959 --> 00:16:03.279 way, 00:16:05.539 --> 00:16:07.240 it's not 00:16:07.240 --> 00:16:08.120 technically 00:16:08.120 --> 00:16:08.699 diagnosed this 00:16:08.699 --> 00:16:08.919 way, 00:16:10.019 --> 00:16:10.659 mental health 00:16:10.659 --> 00:16:11.220 is understood 00:16:11.220 --> 00:16:11.679 as a 00:16:11.679 --> 00:16:12.340 continuum. 00:16:12.779 --> 00:16:13.199 How much 00:16:13.199 --> 00:16:14.379 someone deviates 00:16:14.379 --> 00:16:15.139 from what 00:16:15.139 --> 00:16:15.379 would be 00:16:15.379 --> 00:16:15.759 considered 00:16:15.759 --> 00:16:16.500 typical 00:16:16.500 --> 00:16:17.620 indicates 00:16:17.620 --> 00:16:18.220 whether or 00:16:18.220 --> 00:16:18.819 not they're 00:16:18.819 --> 00:16:19.279 experiencing 00:16:19.279 --> 00:16:19.699 a mental 00:16:19.699 --> 00:16:20.079 health 00:16:20.079 --> 00:16:20.679 illness. 00:16:20.679 --> 00:16:25.019 mental 00:16:25.019 --> 00:16:25.319 health 00:16:25.319 --> 00:16:26.799 illness is 00:16:26.799 --> 00:16:27.379 a health 00:16:27.379 --> 00:16:27.859 condition 00:16:27.859 --> 00:16:28.679 that 00:16:28.679 --> 00:16:29.159 expresses 00:16:29.159 --> 00:16:29.679 itself 00:16:29.679 --> 00:16:29.899 in 00:16:29.899 --> 00:16:30.259 thinking, 00:16:30.399 --> 00:16:30.719 emotion, 00:16:30.779 --> 00:16:30.879 or 00:16:30.879 --> 00:16:31.319 behavior. 00:16:32.319 --> 00:16:32.479 The 00:16:32.479 --> 00:16:33.000 diagnosis 00:16:33.000 --> 00:16:33.459 of mental 00:16:33.459 --> 00:16:33.739 health 00:16:33.739 --> 00:16:34.339 illness 00:16:34.339 --> 00:16:35.000 is not 00:16:35.000 --> 00:16:35.379 done 00:16:35.379 --> 00:16:35.659 through 00:16:35.659 --> 00:16:37.279 physiological 00:16:37.279 --> 00:16:38.099 or 00:16:38.099 --> 00:16:38.659 biological 00:16:38.659 --> 00:16:39.199 testing. 00:16:39.339 --> 00:16:39.779 There really 00:16:39.779 --> 00:16:40.479 aren't 00:16:40.479 --> 00:16:41.279 reliable 00:16:41.279 --> 00:16:42.859 biological 00:16:42.859 --> 00:16:43.120 or 00:16:43.120 --> 00:16:43.379 physiological 00:16:43.379 --> 00:16:44.079 tests 00:16:44.079 --> 00:16:44.799 for most 00:16:44.799 --> 00:16:45.099 mental 00:16:45.099 --> 00:16:45.279 health 00:16:45.279 --> 00:16:45.740 conditions. 00:16:46.240 --> 00:16:46.620 But through 00:16:46.620 --> 00:16:47.259 an assessment 00:16:47.259 --> 00:16:47.700 of a 00:16:47.700 --> 00:16:48.120 person's 00:16:48.120 --> 00:16:48.679 reported 00:16:48.679 --> 00:16:49.000 or 00:16:49.000 --> 00:16:49.480 observable 00:16:49.480 --> 00:16:49.980 behavior 00:16:49.980 --> 00:16:50.519 or 00:16:50.519 --> 00:16:50.819 mental 00:16:50.819 --> 00:16:51.279 state. 00:16:51.439 --> 00:16:51.740 We'll talk 00:16:51.740 --> 00:16:52.000 about that 00:16:52.000 --> 00:16:52.559 more below. 00:16:53.200 --> 00:16:53.500 It doesn't 00:16:53.500 --> 00:16:53.799 mean there 00:16:53.799 --> 00:16:54.100 are not 00:16:54.100 --> 00:16:54.500 physiological 00:16:54.500 --> 00:16:55.319 factors 00:16:55.319 --> 00:16:55.700 involved. 00:16:55.840 --> 00:16:55.939 It just 00:16:55.939 --> 00:16:56.319 means that 00:16:56.319 --> 00:16:57.080 diagnosis, 00:16:57.960 --> 00:16:58.639 at least 00:16:58.639 --> 00:16:59.059 at this 00:16:59.059 --> 00:16:59.700 time, 00:16:59.779 --> 00:17:00.039 is not 00:17:00.039 --> 00:17:00.600 based on 00:17:00.600 --> 00:17:01.000 testing 00:17:01.000 --> 00:17:01.879 or biology. 00:17:02.200 --> 00:17:02.620 This is a 00:17:02.620 --> 00:17:03.019 big issue 00:17:03.019 --> 00:17:03.860 with National 00:17:03.860 --> 00:17:04.259 Institute of 00:17:04.259 --> 00:17:04.700 Mental Health. 00:17:05.180 --> 00:17:05.420 We've 00:17:05.420 --> 00:17:05.740 struggled 00:17:05.740 --> 00:17:06.259 with the 00:17:06.259 --> 00:17:06.680 fact that 00:17:06.680 --> 00:17:07.900 most mental 00:17:07.900 --> 00:17:08.160 health 00:17:08.160 --> 00:17:08.680 diagnoses 00:17:08.680 --> 00:17:09.079 are not 00:17:09.079 --> 00:17:09.500 based on 00:17:09.500 --> 00:17:09.740 any 00:17:09.740 --> 00:17:12.839 objective 00:17:12.839 --> 00:17:15.940 diagnosable 00:17:15.940 --> 00:17:16.480 criteria. 00:17:16.480 --> 00:17:18.420 they're 00:17:18.420 --> 00:17:19.700 based on 00:17:19.700 --> 00:17:21.420 self-reporting. 00:17:22.599 --> 00:17:22.920 And so 00:17:22.920 --> 00:17:24.099 NIH is 00:17:24.099 --> 00:17:24.680 trying to 00:17:24.680 --> 00:17:28.460 address 00:17:28.460 --> 00:17:28.980 that. 00:17:30.980 --> 00:17:31.640 So I 00:17:31.640 --> 00:17:32.039 like to 00:17:32.039 --> 00:17:32.759 talk about 00:17:32.759 --> 00:17:34.039 mental 00:17:34.039 --> 00:17:35.460 or emotional 00:17:35.460 --> 00:17:36.160 disorders 00:17:36.160 --> 00:17:37.240 than mental 00:17:37.240 --> 00:17:37.559 illness. 00:17:38.539 --> 00:17:39.180 I think 00:17:39.180 --> 00:17:39.519 that's more 00:17:39.519 --> 00:17:39.900 accurate. 00:17:40.099 --> 00:17:40.380 So you'll 00:17:40.380 --> 00:17:40.779 hear me 00:17:40.779 --> 00:17:41.640 use both, 00:17:41.720 --> 00:17:41.980 but I 00:17:41.980 --> 00:17:42.360 like the 00:17:42.360 --> 00:17:42.620 idea of 00:17:42.620 --> 00:17:42.839 mental 00:17:42.839 --> 00:17:43.319 disorder 00:17:43.319 --> 00:17:44.720 as a 00:17:44.720 --> 00:17:45.059 category 00:17:45.059 --> 00:17:45.519 for talking 00:17:45.519 --> 00:17:45.980 about this. 00:17:46.480 --> 00:17:49.059 huge 00:17:49.059 --> 00:17:49.400 question 00:17:49.400 --> 00:17:49.740 is this. 00:17:49.860 --> 00:17:50.120 Why 00:17:50.120 --> 00:17:50.500 does it 00:17:50.500 --> 00:17:51.079 seem so 00:17:51.079 --> 00:17:51.700 many people 00:17:51.700 --> 00:17:52.559 now struggle 00:17:52.559 --> 00:17:52.940 with mental 00:17:52.940 --> 00:17:53.460 disorders 00:17:53.460 --> 00:17:54.940 to the 00:17:54.940 --> 00:17:56.160 point that 00:17:56.160 --> 00:17:56.440 some 00:17:56.440 --> 00:17:56.880 researchers 00:17:56.880 --> 00:17:57.480 believe that 00:17:57.480 --> 00:17:57.839 over the 00:17:57.839 --> 00:17:58.240 course of 00:17:58.240 --> 00:17:58.839 a lifetime 00:17:58.839 --> 00:17:59.620 everyone 00:17:59.620 --> 00:18:01.400 will experience 00:18:01.400 --> 00:18:02.240 some form 00:18:02.240 --> 00:18:03.240 of diagnosable 00:18:03.240 --> 00:18:03.519 mental 00:18:03.519 --> 00:18:04.019 disorder? 00:18:05.019 --> 00:18:05.559 Why is 00:18:05.559 --> 00:18:05.759 that? 00:18:08.339 --> 00:18:09.000 I think 00:18:09.000 --> 00:18:09.140 there's 00:18:09.140 --> 00:18:09.539 some reason 00:18:09.539 --> 00:18:09.940 for it. 00:18:10.099 --> 00:18:11.140 One is 00:18:11.140 --> 00:18:11.620 there's 00:18:11.620 --> 00:18:12.000 clearly 00:18:12.000 --> 00:18:12.519 better 00:18:12.519 --> 00:18:13.160 awareness 00:18:13.160 --> 00:18:13.660 more 00:18:13.660 --> 00:18:14.140 data 00:18:14.140 --> 00:18:14.980 better 00:18:14.980 --> 00:18:15.799 diagnosis 00:18:15.799 --> 00:18:16.900 prevention 00:18:16.900 --> 00:18:17.299 and 00:18:17.299 --> 00:18:17.740 treatment. 00:18:17.920 --> 00:18:18.140 Things 00:18:18.140 --> 00:18:18.279 are 00:18:18.279 --> 00:18:18.480 getting 00:18:18.480 --> 00:18:18.859 picked 00:18:18.859 --> 00:18:19.140 up 00:18:19.140 --> 00:18:19.319 on 00:18:19.319 --> 00:18:20.759 before. 00:18:21.500 --> 00:18:21.779 This 00:18:21.779 --> 00:18:22.339 progress 00:18:22.339 --> 00:18:22.900 has led 00:18:22.900 --> 00:18:23.259 to more 00:18:23.259 --> 00:18:23.940 humane 00:18:23.940 --> 00:18:24.740 understanding 00:18:24.740 --> 00:18:25.299 of mental 00:18:25.299 --> 00:18:25.740 illness. 00:18:26.819 --> 00:18:27.000 The 00:18:27.000 --> 00:18:27.339 stigma 00:18:27.339 --> 00:18:27.859 associated 00:18:27.859 --> 00:18:28.200 with mental 00:18:28.200 --> 00:18:28.539 illness 00:18:28.539 --> 00:18:28.980 is giving 00:18:28.980 --> 00:18:30.200 way to 00:18:30.200 --> 00:18:30.500 more 00:18:30.500 --> 00:18:31.039 social 00:18:31.039 --> 00:18:31.579 acceptance 00:18:31.579 --> 00:18:32.079 so people 00:18:32.079 --> 00:18:32.440 are willing 00:18:32.440 --> 00:18:33.039 to talk 00:18:33.039 --> 00:18:33.480 about it 00:18:33.480 --> 00:18:33.859 and people 00:18:33.859 --> 00:18:34.140 are willing 00:18:34.140 --> 00:18:34.339 to be 00:18:34.339 --> 00:18:34.799 open up 00:18:34.799 --> 00:18:35.160 about it. 00:18:35.420 --> 00:18:35.759 A lot 00:18:35.759 --> 00:18:36.079 of times 00:18:36.079 --> 00:18:38.279 in previous 00:18:38.279 --> 00:18:38.919 generations 00:18:38.919 --> 00:18:39.439 anybody 00:18:39.439 --> 00:18:39.960 who had 00:18:39.960 --> 00:18:40.299 a mental 00:18:40.299 --> 00:18:40.799 disorder 00:18:40.799 --> 00:18:41.720 was kind 00:18:41.720 --> 00:18:42.259 of shuffled 00:18:42.259 --> 00:18:42.679 away, 00:18:42.799 --> 00:18:43.279 was hidden 00:18:43.279 --> 00:18:43.720 away. 00:18:44.319 --> 00:18:44.799 Now people 00:18:44.799 --> 00:18:45.079 are getting 00:18:45.079 --> 00:18:45.500 treatment 00:18:45.500 --> 00:18:46.079 for it. 00:18:46.799 --> 00:18:47.079 People 00:18:47.079 --> 00:18:47.379 are willing 00:18:47.379 --> 00:18:47.759 to live 00:18:47.759 --> 00:18:48.139 and talk 00:18:48.139 --> 00:18:48.619 about something 00:18:48.619 --> 00:18:48.859 that was 00:18:48.859 --> 00:18:49.240 considered 00:18:49.240 --> 00:18:49.839 taboo. 00:18:49.960 --> 00:18:50.199 This is 00:18:50.199 --> 00:18:50.500 a good 00:18:50.500 --> 00:18:50.779 thing. 00:18:51.819 --> 00:18:52.220 The fact 00:18:52.220 --> 00:18:53.679 that these 00:18:53.679 --> 00:18:54.000 things are 00:18:54.000 --> 00:18:54.599 being identified 00:18:54.599 --> 00:18:55.679 in our 00:18:55.679 --> 00:18:56.119 culture is 00:18:56.119 --> 00:18:56.419 a good 00:18:56.419 --> 00:18:56.619 thing. 00:18:56.720 --> 00:18:56.919 It means 00:18:56.919 --> 00:18:57.359 people aren't 00:18:57.359 --> 00:18:57.899 suffering 00:18:57.899 --> 00:18:58.740 in the same 00:18:58.740 --> 00:18:59.019 way they 00:18:59.019 --> 00:18:59.319 suffered 00:18:59.319 --> 00:18:59.559 in the 00:18:59.559 --> 00:18:59.939 past. 00:19:01.500 --> 00:19:01.879 The 00:19:01.879 --> 00:19:02.359 downside 00:19:02.359 --> 00:19:02.839 however 00:19:02.839 --> 00:19:03.319 studies 00:19:03.319 --> 00:19:03.779 are also 00:19:03.779 --> 00:19:04.119 showing 00:19:04.119 --> 00:19:04.859 that as 00:19:04.859 --> 00:19:05.399 a society 00:19:05.399 --> 00:19:05.839 moves 00:19:05.839 --> 00:19:06.179 away 00:19:06.179 --> 00:19:06.419 from 00:19:06.419 --> 00:19:07.000 values 00:19:07.000 --> 00:19:07.279 like 00:19:07.279 --> 00:19:07.879 character 00:19:07.879 --> 00:19:08.179 and 00:19:08.179 --> 00:19:08.659 community 00:19:08.659 --> 00:19:08.939 and 00:19:08.939 --> 00:19:09.539 faith 00:19:09.539 --> 00:19:10.599 there are 00:19:10.599 --> 00:19:10.939 mental 00:19:10.939 --> 00:19:11.199 and 00:19:11.199 --> 00:19:11.759 emotional 00:19:11.759 --> 00:19:12.639 social 00:19:12.639 --> 00:19:13.079 causes. 00:19:13.079 --> 00:19:13.579 This is 00:19:13.579 --> 00:19:14.059 showing up 00:19:14.059 --> 00:19:14.599 in studies. 00:19:16.480 --> 00:19:16.819 We're 00:19:16.819 --> 00:19:17.240 embracing 00:19:17.240 --> 00:19:17.819 a toxic 00:19:17.819 --> 00:19:18.559 combination 00:19:18.559 --> 00:19:19.419 going back 00:19:19.419 --> 00:19:19.779 to what 00:19:19.779 --> 00:19:20.099 we talked 00:19:20.099 --> 00:19:20.659 about before 00:19:20.659 --> 00:19:21.039 about 00:19:21.039 --> 00:19:23.199 expressive 00:19:23.199 --> 00:19:24.179 individualism. 00:19:24.639 --> 00:19:24.919 We're 00:19:24.919 --> 00:19:25.259 embracing 00:19:25.259 --> 00:19:25.819 a toxic 00:19:25.819 --> 00:19:26.480 combination 00:19:26.480 --> 00:19:27.279 of demand 00:19:27.279 --> 00:19:28.699 for uninhibited 00:19:28.699 --> 00:19:29.459 fulfillment 00:19:29.459 --> 00:19:31.399 and unbounded 00:19:31.399 --> 00:19:32.379 personal rights 00:19:32.379 --> 00:19:33.119 to have those 00:19:33.119 --> 00:19:34.179 demands met. 00:19:34.559 --> 00:19:34.879 You see 00:19:34.879 --> 00:19:35.459 what's 00:19:35.460 --> 00:19:35.759 happening 00:19:35.759 --> 00:19:36.220 in our 00:19:36.220 --> 00:19:36.799 culture 00:19:36.799 --> 00:19:38.319 I have 00:19:38.319 --> 00:19:38.759 this 00:19:38.759 --> 00:19:39.900 imperial 00:19:39.900 --> 00:19:40.299 sense 00:19:40.299 --> 00:19:40.900 of self 00:19:40.900 --> 00:19:41.440 that needs 00:19:41.440 --> 00:19:41.740 to be 00:19:41.740 --> 00:19:42.340 recognized 00:19:42.340 --> 00:19:43.019 but I 00:19:43.019 --> 00:19:43.340 can't 00:19:43.340 --> 00:19:43.940 impose 00:19:43.940 --> 00:19:44.180 that 00:19:44.180 --> 00:19:44.860 recognition 00:19:44.860 --> 00:19:45.480 on anyone 00:19:45.480 --> 00:19:46.400 and so 00:19:46.400 --> 00:19:47.160 I live 00:19:47.160 --> 00:19:48.120 with various 00:19:48.120 --> 00:19:48.640 kinds of 00:19:48.640 --> 00:19:49.079 anxiety. 00:19:49.440 --> 00:19:49.880 I have to 00:19:49.880 --> 00:19:50.559 perform. 00:19:50.960 --> 00:19:51.440 I have to 00:19:51.440 --> 00:19:51.960 do things. 00:19:52.160 --> 00:19:52.420 It doesn't 00:19:52.420 --> 00:19:52.900 mean that 00:19:52.900 --> 00:19:53.799 this underlies 00:19:53.799 --> 00:19:55.299 every depression 00:19:55.299 --> 00:19:55.819 or anxiety 00:19:55.819 --> 00:19:56.220 but there's 00:19:56.220 --> 00:19:56.779 a reason 00:19:56.779 --> 00:19:58.019 why it's 00:19:58.019 --> 00:19:58.500 depression 00:19:58.500 --> 00:19:59.220 and anxiety 00:19:59.220 --> 00:19:59.740 that are the 00:19:59.740 --> 00:20:00.519 most prominently 00:20:00.519 --> 00:20:01.480 diagnosed now 00:20:01.480 --> 00:20:02.860 because we 00:20:02.860 --> 00:20:03.160 live in a 00:20:03.160 --> 00:20:03.720 culture 00:20:03.720 --> 00:20:05.000 that is 00:20:05.000 --> 00:20:05.779 going to 00:20:05.779 --> 00:20:06.839 that is 00:20:06.839 --> 00:20:07.960 driving 00:20:07.960 --> 00:20:09.339 values 00:20:09.339 --> 00:20:10.299 that when 00:20:10.299 --> 00:20:11.019 people aren't 00:20:11.019 --> 00:20:11.759 getting those 00:20:11.759 --> 00:20:12.440 whether they're 00:20:12.440 --> 00:20:13.400 a sense of 00:20:13.400 --> 00:20:14.360 belonging 00:20:14.360 --> 00:20:15.160 a sense of 00:20:15.160 --> 00:20:15.700 connection 00:20:15.700 --> 00:20:16.620 a sense of 00:20:16.620 --> 00:20:17.819 validation 00:20:17.819 --> 00:20:18.960 a sense of 00:20:18.960 --> 00:20:19.620 affirming 00:20:19.620 --> 00:20:20.519 a sense of 00:20:20.519 --> 00:20:21.140 closeness 00:20:21.140 --> 00:20:22.500 a sense of 00:20:22.500 --> 00:20:24.620 self-agency 00:20:24.619 --> 00:20:25.899 those are 00:20:25.899 --> 00:20:26.299 natural 00:20:26.299 --> 00:20:26.959 responses. 00:20:31.259 --> 00:20:31.819 We're 00:20:31.819 --> 00:20:33.039 psychologically 00:20:33.039 --> 00:20:33.879 and emotionally 00:20:33.879 --> 00:20:34.739 vulnerable to 00:20:34.739 --> 00:20:35.259 a culture 00:20:35.259 --> 00:20:35.959 that most 00:20:35.959 --> 00:20:36.739 values 00:20:36.739 --> 00:20:37.379 that things 00:20:37.379 --> 00:20:38.019 at least 00:20:38.019 --> 00:20:38.819 satisfy. 00:20:40.959 --> 00:20:41.639 And I 00:20:41.639 --> 00:20:42.000 think you 00:20:42.000 --> 00:20:42.299 guys 00:20:42.299 --> 00:20:43.259 you live 00:20:43.259 --> 00:20:44.479 in a 00:20:44.479 --> 00:20:44.819 hyper 00:20:44.819 --> 00:20:46.419 productive 00:20:46.419 --> 00:20:47.019 world 00:20:47.019 --> 00:20:48.039 I think 00:20:48.039 --> 00:20:48.239 this is 00:20:48.239 --> 00:20:48.579 what you'll 00:20:48.579 --> 00:20:48.839 see. 00:20:49.219 --> 00:20:49.619 You'll see 00:20:49.619 --> 00:20:50.299 people who 00:20:50.299 --> 00:20:51.879 just assume 00:20:51.879 --> 00:20:52.559 they need 00:20:52.559 --> 00:20:53.159 to achieve 00:20:53.159 --> 00:20:53.659 a certain 00:20:53.659 --> 00:20:54.019 level 00:20:54.019 --> 00:20:55.819 they assume 00:20:55.819 --> 00:20:56.220 they need 00:20:56.220 --> 00:20:56.440 to have 00:20:56.440 --> 00:20:56.839 a certain 00:20:56.839 --> 00:20:57.359 stance 00:20:57.359 --> 00:20:58.480 in whatever 00:20:58.480 --> 00:20:59.039 their field 00:20:59.039 --> 00:20:59.400 is. 00:20:59.799 --> 00:21:00.200 And they're 00:21:00.200 --> 00:21:00.759 living with 00:21:00.759 --> 00:21:01.400 anxiety 00:21:01.400 --> 00:21:02.440 and depression 00:21:02.440 --> 00:21:02.879 and that's 00:21:02.879 --> 00:21:03.400 not happening. 00:21:08.160 --> 00:21:08.859 You'll 00:21:08.859 --> 00:21:09.599 promise things 00:21:09.599 --> 00:21:10.200 that can't 00:21:10.200 --> 00:21:10.680 be delivered. 00:21:12.019 --> 00:21:12.700 If we 00:21:12.700 --> 00:21:13.059 want to get 00:21:13.059 --> 00:21:13.660 to the hard 00:21:13.660 --> 00:21:14.379 unvarnished 00:21:14.379 --> 00:21:15.019 truth it's 00:21:15.019 --> 00:21:15.359 this. 00:21:15.980 --> 00:21:16.420 We have 00:21:16.420 --> 00:21:16.900 disorder 00:21:16.900 --> 00:21:17.480 because we 00:21:17.480 --> 00:21:18.019 are human 00:21:18.019 --> 00:21:18.559 beings 00:21:18.559 --> 00:21:19.500 and are 00:21:19.500 --> 00:21:20.400 fundamentally 00:21:20.400 --> 00:21:21.139 disordered. 00:21:21.379 --> 00:21:21.639 You, 00:21:22.039 --> 00:21:22.299 I, 00:21:22.440 --> 00:21:23.079 we are all 00:21:23.079 --> 00:21:24.059 fundamentally 00:21:24.059 --> 00:21:24.720 disordered. 00:21:25.079 --> 00:21:25.639 That's how 00:21:25.639 --> 00:21:26.179 the Bible 00:21:26.179 --> 00:21:27.059 describes it. 00:21:28.019 --> 00:21:28.339 We were 00:21:28.339 --> 00:21:28.939 created to 00:21:28.939 --> 00:21:29.419 love and 00:21:29.419 --> 00:21:30.319 glorify God 00:21:30.319 --> 00:21:30.980 to find our 00:21:30.980 --> 00:21:31.519 meaning and 00:21:31.519 --> 00:21:32.240 joy in Him. 00:21:32.720 --> 00:21:33.299 Sin is the 00:21:33.299 --> 00:21:34.639 denial of 00:21:34.639 --> 00:21:35.500 that fundamental 00:21:35.500 --> 00:21:36.759 reality in 00:21:36.759 --> 00:21:37.299 the vain 00:21:37.299 --> 00:21:37.980 search for 00:21:37.980 --> 00:21:38.619 self-worship 00:21:38.619 --> 00:21:39.599 and self-glory. 00:21:39.879 --> 00:21:40.480 So you see 00:21:40.480 --> 00:21:40.779 what the 00:21:40.779 --> 00:21:41.519 problem is. 00:21:42.199 --> 00:21:42.559 If you 00:21:42.559 --> 00:21:42.899 want to know 00:21:42.899 --> 00:21:43.699 the foundation 00:21:43.699 --> 00:21:44.159 of mental 00:21:44.159 --> 00:21:44.559 illness, 00:21:44.679 --> 00:21:45.179 don't read 00:21:45.179 --> 00:21:45.779 Freud, 00:21:46.500 --> 00:21:47.399 read Romans 00:21:47.399 --> 00:21:48.359 chapter 1 00:21:48.359 --> 00:21:49.000 through 3. 00:21:49.000 --> 00:21:50.799 the ugly 00:21:50.799 --> 00:21:51.420 truth is 00:21:51.420 --> 00:21:51.720 this. 00:21:51.819 --> 00:21:52.059 To the 00:21:52.059 --> 00:21:52.720 extent that 00:21:52.720 --> 00:21:53.359 we seek 00:21:53.359 --> 00:21:54.339 to live 00:21:54.339 --> 00:21:55.119 life apart 00:21:55.119 --> 00:21:55.720 from God, 00:21:55.980 --> 00:21:56.359 we are 00:21:56.359 --> 00:21:57.119 not sane. 00:21:57.619 --> 00:21:58.059 It is in 00:21:58.059 --> 00:21:58.359 fact the 00:21:58.359 --> 00:21:59.259 most insane 00:21:59.259 --> 00:22:00.119 thing anyone 00:22:00.119 --> 00:22:00.700 can do 00:22:00.700 --> 00:22:01.700 to live 00:22:01.700 --> 00:22:02.119 this God 00:22:02.119 --> 00:22:02.440 if we 00:22:02.440 --> 00:22:02.920 don't stand 00:22:02.920 --> 00:22:04.539 before God 00:22:04.539 --> 00:22:05.119 and He's 00:22:05.119 --> 00:22:05.500 not our 00:22:05.500 --> 00:22:05.799 judge. 00:22:06.900 --> 00:22:07.519 No matter 00:22:07.519 --> 00:22:08.240 how well 00:22:08.240 --> 00:22:09.019 adjusted we 00:22:09.019 --> 00:22:09.579 may be in 00:22:09.579 --> 00:22:10.079 this life, 00:22:10.180 --> 00:22:10.680 that's the 00:22:10.680 --> 00:22:11.279 fallacy. 00:22:12.559 --> 00:22:12.980 Well 00:22:12.980 --> 00:22:13.660 adjusted in 00:22:13.660 --> 00:22:14.160 this life 00:22:14.160 --> 00:22:14.920 can still be 00:22:14.920 --> 00:22:15.640 damnation in 00:22:15.640 --> 00:22:15.900 the life 00:22:15.900 --> 00:22:16.339 to come. 00:22:16.339 --> 00:22:20.699 The 00:22:20.699 --> 00:22:21.139 fundamental 00:22:21.139 --> 00:22:21.899 insanity of 00:22:21.899 --> 00:22:22.579 human condition 00:22:22.579 --> 00:22:22.980 is the 00:22:22.980 --> 00:22:23.679 rejection of 00:22:23.679 --> 00:22:24.240 the God 00:22:24.240 --> 00:22:25.119 from whom 00:22:25.119 --> 00:22:25.980 all life 00:22:25.980 --> 00:22:26.599 and meaning 00:22:26.599 --> 00:22:27.079 come. 00:22:27.819 --> 00:22:28.339 The fact 00:22:28.339 --> 00:22:29.099 that science 00:22:29.099 --> 00:22:29.819 can identify 00:22:29.819 --> 00:22:30.379 genetic 00:22:30.379 --> 00:22:30.980 propensity 00:22:30.980 --> 00:22:32.220 toward mental 00:22:32.220 --> 00:22:33.379 illness and 00:22:33.379 --> 00:22:34.019 observe it in 00:22:34.019 --> 00:22:34.799 brain scans 00:22:34.799 --> 00:22:36.079 doesn't challenge 00:22:36.079 --> 00:22:37.159 the truth 00:22:37.159 --> 00:22:37.799 of scripture. 00:22:38.720 --> 00:22:39.500 It confirms 00:22:39.500 --> 00:22:40.419 the pervasiveness 00:22:40.419 --> 00:22:41.980 of sin at 00:22:41.980 --> 00:22:42.480 the deepest 00:22:42.480 --> 00:22:43.059 core of 00:22:43.059 --> 00:22:43.379 who we 00:22:43.379 --> 00:22:43.639 are. 00:22:45.000 --> 00:22:45.439 So 00:22:45.440 --> 00:22:47.420 whatever's 00:22:47.420 --> 00:22:48.180 happening in 00:22:48.180 --> 00:22:48.700 the world 00:22:48.700 --> 00:22:49.180 of mental 00:22:49.180 --> 00:22:49.600 health, 00:22:50.120 --> 00:22:50.620 there's a 00:22:50.620 --> 00:22:51.700 deeper reality 00:22:51.700 --> 00:22:52.259 that needs 00:22:52.259 --> 00:22:52.539 to be 00:22:52.539 --> 00:22:53.259 factored in. 00:22:54.140 --> 00:22:54.860 Even if 00:22:54.860 --> 00:22:55.259 you're able 00:22:55.259 --> 00:22:56.080 to help 00:22:56.080 --> 00:22:56.640 somebody who 00:22:56.640 --> 00:22:57.500 is disordered 00:22:57.500 --> 00:22:58.940 become 00:22:58.940 --> 00:23:01.240 functional 00:23:01.240 --> 00:23:02.960 and live 00:23:02.960 --> 00:23:03.860 more typically 00:23:03.860 --> 00:23:05.500 apart from 00:23:05.500 --> 00:23:06.019 Christ, 00:23:06.880 --> 00:23:07.160 they have 00:23:07.160 --> 00:23:07.559 no hope 00:23:07.559 --> 00:23:07.840 for this 00:23:07.840 --> 00:23:08.440 world or 00:23:08.440 --> 00:23:08.700 for the 00:23:08.700 --> 00:23:09.140 world to 00:23:09.140 --> 00:23:09.360 come. 00:23:10.900 --> 00:23:12.000 So that's 00:23:12.000 --> 00:23:12.279 how we 00:23:12.279 --> 00:23:12.519 need to 00:23:12.519 --> 00:23:12.980 understand 00:23:12.980 --> 00:23:13.220 mental 00:23:13.220 --> 00:23:13.640 disorder. 00:23:13.640 --> 00:23:15.640 It doesn't 00:23:15.640 --> 00:23:16.040 exist, 00:23:16.200 --> 00:23:16.860 it's a 00:23:16.860 --> 00:23:17.320 fabrication. 00:23:17.480 --> 00:23:17.600 No, 00:23:17.920 --> 00:23:18.520 it exists 00:23:18.520 --> 00:23:18.759 but it 00:23:18.759 --> 00:23:19.160 exists at 00:23:19.160 --> 00:23:19.440 a much 00:23:19.440 --> 00:23:19.759 deeper 00:23:19.759 --> 00:23:20.340 level than 00:23:20.340 --> 00:23:23.140 even the 00:23:23.140 --> 00:23:23.540 mental health 00:23:23.540 --> 00:23:23.960 world wants 00:23:23.960 --> 00:23:24.460 to acknowledge. 00:23:27.040 --> 00:23:27.700 It doesn't 00:23:27.700 --> 00:23:28.040 mean that 00:23:28.040 --> 00:23:28.560 everything you 00:23:28.560 --> 00:23:28.840 see in 00:23:28.840 --> 00:23:29.500 somebody is 00:23:29.500 --> 00:23:29.840 sin, 00:23:29.940 --> 00:23:30.520 but sin 00:23:30.520 --> 00:23:32.880 is the 00:23:32.880 --> 00:23:33.380 ultimate 00:23:33.380 --> 00:23:33.800 cause 00:23:33.800 --> 00:23:34.380 out of 00:23:34.380 --> 00:23:36.860 all our 00:23:36.860 --> 00:23:37.280 disorder. 00:23:40.140 --> 00:23:40.580 When someone 00:23:40.580 --> 00:23:41.020 receives, 00:23:41.160 --> 00:23:41.400 so any 00:23:41.400 --> 00:23:41.940 questions about 00:23:41.940 --> 00:23:42.400 that before 00:23:42.400 --> 00:23:42.640 I move 00:23:42.640 --> 00:23:42.860 on, 00:23:43.759 --> 00:23:44.120 on the 00:23:44.120 --> 00:23:44.640 concept of 00:23:44.640 --> 00:23:44.799 mental 00:23:44.799 --> 00:23:45.100 illness. 00:23:49.799 --> 00:23:50.279 Great. 00:23:51.299 --> 00:23:51.759 So what 00:23:51.759 --> 00:23:52.160 happens in 00:23:52.160 --> 00:23:52.600 the psychiatric 00:23:52.600 --> 00:23:53.240 diagnosis? 00:23:54.460 --> 00:23:55.200 When someone 00:23:55.200 --> 00:23:55.880 receives a 00:23:55.880 --> 00:23:56.240 legitimate 00:23:56.240 --> 00:23:56.799 psychiatric 00:23:56.799 --> 00:23:57.440 diagnosis, 00:23:57.620 --> 00:23:58.160 it means that 00:23:58.160 --> 00:23:59.920 someone qualified 00:23:59.920 --> 00:24:00.720 to do mental 00:24:00.720 --> 00:24:01.500 health diagnosis 00:24:01.500 --> 00:24:02.980 has observed a 00:24:02.980 --> 00:24:03.680 person's behavior 00:24:03.680 --> 00:24:04.380 or descriptions 00:24:04.380 --> 00:24:05.039 of behavior, 00:24:05.480 --> 00:24:06.420 and based on 00:24:06.420 --> 00:24:07.320 the predetermined 00:24:07.320 --> 00:24:08.200 criteria of the 00:24:08.200 --> 00:24:08.900 Diagnostic and 00:24:08.900 --> 00:24:09.620 Tistical Manual, 00:24:09.619 --> 00:24:11.159 DSM-5, 00:24:11.939 --> 00:24:12.519 believe the 00:24:12.519 --> 00:24:13.459 person fits a 00:24:13.459 --> 00:24:14.339 sufficient number 00:24:14.339 --> 00:24:14.679 of the 00:24:14.679 --> 00:24:16.000 symptoms for 00:24:16.000 --> 00:24:16.559 a particular 00:24:16.559 --> 00:24:18.039 disorder to 00:24:18.039 --> 00:24:18.439 warrant a 00:24:18.439 --> 00:24:18.919 diagnosis. 00:24:19.059 --> 00:24:19.459 So it's a 00:24:19.459 --> 00:24:20.519 criteria that 00:24:20.519 --> 00:24:22.299 trained people 00:24:22.299 --> 00:24:23.179 are looking at. 00:24:23.739 --> 00:24:24.379 Does this 00:24:24.379 --> 00:24:26.259 description or 00:24:26.259 --> 00:24:27.079 observation of 00:24:27.079 --> 00:24:27.939 behavior or 00:24:27.939 --> 00:24:29.459 thinking or 00:24:29.459 --> 00:24:31.239 emotional response 00:24:31.239 --> 00:24:33.519 warrant a 00:24:33.519 --> 00:24:34.939 formal diagnosis? 00:24:35.879 --> 00:24:36.459 A psychiatric 00:24:36.459 --> 00:24:38.759 diagnosis is a 00:24:38.759 --> 00:24:39.720 description of 00:24:39.720 --> 00:24:40.480 behavior and 00:24:40.480 --> 00:24:42.099 experience, not 00:24:42.099 --> 00:24:42.960 an explanation. 00:24:44.599 --> 00:24:45.859 It tells you 00:24:45.859 --> 00:24:46.299 what. 00:24:46.440 --> 00:24:47.240 It doesn't tell 00:24:47.240 --> 00:24:47.900 you why. 00:24:48.200 --> 00:24:48.940 The DSM-5 00:24:48.940 --> 00:24:49.759 itself says, 00:24:50.160 --> 00:24:51.000 a diagnosis 00:24:51.000 --> 00:24:52.319 does not carry 00:24:52.319 --> 00:24:53.740 any necessary 00:24:53.740 --> 00:24:55.019 implications regarding 00:24:55.019 --> 00:24:56.420 the causes of 00:24:56.420 --> 00:24:57.140 the individual's 00:24:57.140 --> 00:24:57.859 mental disorder 00:24:57.859 --> 00:24:59.019 or the 00:24:59.019 --> 00:25:00.099 individual's degree 00:25:00.099 --> 00:25:01.319 of control over 00:25:01.319 --> 00:25:02.619 behaviors that 00:25:02.619 --> 00:25:04.299 may be associated 00:25:04.299 --> 00:25:04.779 with this 00:25:04.779 --> 00:25:05.379 disorder. 00:25:05.380 --> 00:25:11.800 two things 00:25:11.800 --> 00:25:12.260 that are not 00:25:12.260 --> 00:25:12.980 addressed in 00:25:12.980 --> 00:25:14.480 diagnosis that 00:25:14.480 --> 00:25:15.400 often create 00:25:15.400 --> 00:25:16.380 challenges for the 00:25:16.380 --> 00:25:17.840 person or those 00:25:17.840 --> 00:25:18.740 involved are 00:25:18.740 --> 00:25:20.020 motivation and 00:25:20.020 --> 00:25:20.480 morality. 00:25:21.320 --> 00:25:21.960 Let's take, for 00:25:21.960 --> 00:25:22.540 example, someone 00:25:22.540 --> 00:25:24.240 who is bipolar 00:25:24.240 --> 00:25:25.640 and they're in a 00:25:25.640 --> 00:25:26.240 manic state. 00:25:26.400 --> 00:25:26.780 And in that 00:25:26.780 --> 00:25:27.540 manic state, 00:25:28.180 --> 00:25:29.640 they do things, 00:25:29.700 --> 00:25:30.300 they steal. 00:25:30.299 --> 00:25:32.159 people, I've 00:25:32.159 --> 00:25:33.079 had people in 00:25:33.079 --> 00:25:34.279 manner states 00:25:34.279 --> 00:25:37.940 do all kinds of 00:25:37.940 --> 00:25:39.240 crazy things that 00:25:39.240 --> 00:25:40.099 put other people 00:25:40.099 --> 00:25:40.619 in peril. 00:25:43.259 --> 00:25:46.019 And the 00:25:46.019 --> 00:25:47.899 diagnosis doesn't 00:25:47.899 --> 00:25:48.940 address the fact 00:25:48.940 --> 00:25:50.019 that you did 00:25:50.019 --> 00:25:51.119 these things and 00:25:51.119 --> 00:25:51.839 other people are 00:25:51.839 --> 00:25:52.440 now in peril. 00:25:53.680 --> 00:25:55.039 It just addresses 00:25:55.039 --> 00:25:56.019 what you did. 00:25:56.659 --> 00:25:57.740 It can't address 00:25:57.740 --> 00:25:58.740 the morality of 00:25:58.740 --> 00:25:58.859 them. 00:26:01.380 --> 00:26:02.180 One of the 00:26:02.180 --> 00:26:02.859 great problems 00:26:02.859 --> 00:26:04.099 with addictions 00:26:04.099 --> 00:26:06.460 these days is 00:26:06.460 --> 00:26:07.819 the drive to 00:26:07.819 --> 00:26:08.880 make it entirely 00:26:08.880 --> 00:26:09.980 a disease model 00:26:09.980 --> 00:26:12.019 does not fit 00:26:12.019 --> 00:26:13.339 what the 00:26:13.339 --> 00:26:14.380 average addict 00:26:14.380 --> 00:26:15.920 understands about 00:26:15.920 --> 00:26:16.240 what they're 00:26:16.240 --> 00:26:16.660 dealing with. 00:26:18.059 --> 00:26:18.720 And they're 00:26:18.720 --> 00:26:19.420 uncomfortable 00:26:19.420 --> 00:26:20.079 calling it 00:26:20.079 --> 00:26:20.720 disease. 00:26:21.900 --> 00:26:22.259 You'll have to 00:26:22.259 --> 00:26:22.839 hear some people 00:26:22.839 --> 00:26:23.299 do it, but 00:26:23.299 --> 00:26:23.680 they're almost 00:26:23.680 --> 00:26:25.059 defiant because 00:26:25.059 --> 00:26:26.259 they know the 00:26:26.259 --> 00:26:26.740 amount of 00:26:26.740 --> 00:26:27.720 deception and 00:26:27.720 --> 00:26:28.799 lying and 00:26:28.799 --> 00:26:30.019 selfishness that 00:26:30.019 --> 00:26:30.839 goes into 00:26:30.839 --> 00:26:32.160 pursuing an 00:26:32.160 --> 00:26:32.460 addiction. 00:26:33.779 --> 00:26:34.240 And they 00:26:34.240 --> 00:26:36.240 don't, their 00:26:36.240 --> 00:26:38.400 own souls are 00:26:38.400 --> 00:26:39.500 struggling with 00:26:39.500 --> 00:26:40.160 the idea that 00:26:40.160 --> 00:26:40.500 you're just 00:26:40.500 --> 00:26:41.079 calling this a 00:26:41.079 --> 00:26:41.440 disease. 00:26:43.900 --> 00:26:47.319 So, the 00:26:47.319 --> 00:26:47.860 benefit of the 00:26:47.860 --> 00:26:48.839 DSM, currently 00:26:48.839 --> 00:26:49.880 the DSM 5, 00:26:49.960 --> 00:26:50.440 fifth version, 00:26:51.019 --> 00:26:51.559 is that it 00:26:51.559 --> 00:26:52.339 standardizes 00:26:52.339 --> 00:26:53.200 descriptions of 00:26:53.200 --> 00:26:53.660 mental health 00:26:53.660 --> 00:26:54.220 problems so 00:26:54.220 --> 00:26:54.680 they can be 00:26:54.680 --> 00:26:55.360 studied and 00:26:55.360 --> 00:26:55.920 treated with 00:26:55.920 --> 00:26:56.440 some level of 00:26:56.440 --> 00:26:56.880 consistency, 00:26:56.880 --> 00:26:57.980 apart from 00:26:57.980 --> 00:26:58.900 this, it 00:26:58.900 --> 00:26:59.640 really is just 00:26:59.640 --> 00:27:00.320 the wild, 00:27:00.400 --> 00:27:00.900 wild west in 00:27:00.900 --> 00:27:01.240 terms of what 00:27:01.240 --> 00:27:01.580 you're dealing 00:27:01.580 --> 00:27:01.900 with. 00:27:03.120 --> 00:27:03.840 And that's a 00:27:03.840 --> 00:27:04.400 good thing for 00:27:04.400 --> 00:27:05.140 our complex 00:27:05.140 --> 00:27:05.580 culture. 00:27:07.400 --> 00:27:08.140 So, I want to 00:27:08.140 --> 00:27:08.780 say, first of 00:27:08.780 --> 00:27:09.320 all, I'm 00:27:09.320 --> 00:27:10.180 grateful for the 00:27:10.180 --> 00:27:11.040 DSM 5. 00:27:11.039 --> 00:27:13.039 I think, I 00:27:13.039 --> 00:27:13.500 think, apart from 00:27:13.500 --> 00:27:15.019 the Lord knows 00:27:15.019 --> 00:27:15.339 what we're 00:27:15.339 --> 00:27:15.659 going to have. 00:27:15.940 --> 00:27:16.519 It's a 00:27:16.519 --> 00:27:17.619 responsible act 00:27:17.619 --> 00:27:18.220 on the part of 00:27:18.220 --> 00:27:19.399 the mental 00:27:19.399 --> 00:27:20.099 health community 00:27:20.099 --> 00:27:21.059 to create some 00:27:21.059 --> 00:27:21.420 sort of 00:27:21.420 --> 00:27:22.119 standards to 00:27:22.119 --> 00:27:23.059 draw from 00:27:23.059 --> 00:27:24.059 some basis of 00:27:24.059 --> 00:27:24.799 research to 00:27:24.799 --> 00:27:25.279 have some 00:27:25.279 --> 00:27:25.659 sort of 00:27:25.659 --> 00:27:27.200 commonality and 00:27:27.200 --> 00:27:27.799 understanding 00:27:27.799 --> 00:27:28.879 particularly complex 00:27:28.879 --> 00:27:29.339 issues. 00:27:29.960 --> 00:27:30.859 The problem is 00:27:30.859 --> 00:27:32.099 what gets in 00:27:32.099 --> 00:27:34.039 and what gets 00:27:34.039 --> 00:27:34.439 in and what 00:27:34.439 --> 00:27:35.000 gets out is 00:27:35.000 --> 00:27:35.399 always to 00:27:35.399 --> 00:27:35.919 vote it on. 00:27:37.199 --> 00:27:38.679 And it 00:27:38.679 --> 00:27:39.219 depends on 00:27:39.219 --> 00:27:40.159 culture, sometimes 00:27:40.159 --> 00:27:41.119 it takes votes, 00:27:41.480 --> 00:27:42.119 what's considered a 00:27:42.119 --> 00:27:42.740 disorder, what's 00:27:42.740 --> 00:27:42.919 not. 00:27:43.119 --> 00:27:43.619 So it's not 00:27:43.619 --> 00:27:44.199 scientifically 00:27:44.199 --> 00:27:44.899 derived. 00:27:45.859 --> 00:27:47.240 So from within 00:27:47.240 --> 00:27:48.000 the psychological 00:27:48.000 --> 00:27:48.980 community, I'm not 00:27:48.980 --> 00:27:49.899 interested in 00:27:49.899 --> 00:27:51.079 critiquing from the 00:27:51.079 --> 00:27:51.599 outside. 00:27:52.039 --> 00:27:52.579 From within the 00:27:52.579 --> 00:27:52.879 psychological 00:27:52.879 --> 00:27:53.980 community, here are 00:27:53.980 --> 00:27:55.139 some critiques. 00:27:55.959 --> 00:27:56.539 Psychiatric 00:27:56.539 --> 00:27:57.679 diagnosis is 00:27:57.679 --> 00:27:58.679 popularly understood 00:27:58.680 --> 00:27:59.220 to have the 00:27:59.220 --> 00:28:01.039 same basis as 00:28:01.039 --> 00:28:02.120 medical research, 00:28:02.519 --> 00:28:03.380 but it isn't 00:28:03.380 --> 00:28:04.680 fundamentally based 00:28:04.680 --> 00:28:05.279 on medical 00:28:05.279 --> 00:28:05.860 research. 00:28:08.779 --> 00:28:10.460 I could go 00:28:10.460 --> 00:28:11.860 into, when you 00:28:11.860 --> 00:28:12.460 talk about brain 00:28:12.460 --> 00:28:13.120 scans, when you 00:28:13.120 --> 00:28:13.720 talk about those 00:28:13.720 --> 00:28:14.259 kind of things, 00:28:15.039 --> 00:28:15.460 where is that 00:28:15.460 --> 00:28:15.640 going? 00:28:17.220 --> 00:28:17.700 Well, here's an 00:28:17.700 --> 00:28:18.360 interesting fact. 00:28:20.259 --> 00:28:21.000 Big, large 00:28:21.000 --> 00:28:21.500 meta study. 00:28:24.140 --> 00:28:24.519 The 00:28:24.519 --> 00:28:29.759 understanding, the 00:28:29.759 --> 00:28:31.440 data from 00:28:31.440 --> 00:28:32.819 studies on 00:28:32.819 --> 00:28:34.379 mental health 00:28:34.379 --> 00:28:36.379 issues, where 00:28:36.379 --> 00:28:36.819 do you think 00:28:36.819 --> 00:28:37.460 that comes from? 00:28:38.639 --> 00:28:39.079 Where does that 00:28:39.079 --> 00:28:39.639 data come from? 00:28:41.720 --> 00:28:42.480 Who is being 00:28:42.480 --> 00:28:42.839 studied? 00:28:46.359 --> 00:28:48.319 Well, it 00:28:48.319 --> 00:28:49.039 used to be 00:28:49.039 --> 00:28:50.460 who's being 00:28:50.460 --> 00:28:51.279 studied was 00:28:51.279 --> 00:28:51.960 prisoners. 00:28:51.960 --> 00:28:53.880 because they 00:28:53.880 --> 00:28:54.819 could be forced 00:28:54.819 --> 00:28:55.759 to do the 00:28:55.759 --> 00:28:56.039 studies. 00:28:58.000 --> 00:28:58.519 There's 00:28:58.519 --> 00:28:59.000 civil rights 00:28:59.000 --> 00:28:59.539 being violated. 00:29:00.000 --> 00:29:00.420 They changed 00:29:00.420 --> 00:29:00.660 that. 00:29:01.640 --> 00:29:02.279 Nobody can be 00:29:02.279 --> 00:29:02.799 forced to be 00:29:02.799 --> 00:29:03.220 in a study. 00:29:04.259 --> 00:29:04.960 Who's being 00:29:04.960 --> 00:29:05.579 studied now? 00:29:08.480 --> 00:29:09.120 Those who 00:29:09.120 --> 00:29:09.480 think that 00:29:09.480 --> 00:29:09.980 there's... 00:29:09.980 --> 00:29:10.000 Everybody 00:29:10.000 --> 00:29:10.860 around here. 00:29:13.500 --> 00:29:13.900 College 00:29:13.900 --> 00:29:14.180 students. 00:29:15.740 --> 00:29:17.240 70% of 00:29:17.240 --> 00:29:18.500 all the 00:29:18.500 --> 00:29:20.799 data that 00:29:20.799 --> 00:29:21.460 creates the 00:29:21.460 --> 00:29:23.039 categories of 00:29:23.039 --> 00:29:23.779 mental health 00:29:23.779 --> 00:29:24.620 and psychological 00:29:24.620 --> 00:29:26.200 categories is 00:29:26.200 --> 00:29:27.039 derived from 00:29:27.039 --> 00:29:28.880 studying college 00:29:28.880 --> 00:29:30.220 students in 00:29:30.220 --> 00:29:30.660 American 00:29:30.660 --> 00:29:31.220 universities. 00:29:33.380 --> 00:29:34.100 Why? 00:29:35.779 --> 00:29:36.700 Because you 00:29:36.700 --> 00:29:37.380 get graded 00:29:37.380 --> 00:29:38.180 for it. 00:29:39.059 --> 00:29:40.500 Because you 00:29:40.500 --> 00:29:41.059 get paid 00:29:41.059 --> 00:29:41.579 for it. 00:29:43.779 --> 00:29:44.759 So, when 00:29:44.759 --> 00:29:45.059 you think 00:29:45.059 --> 00:29:45.460 about what 00:29:45.460 --> 00:29:46.200 is typical, 00:29:47.360 --> 00:29:47.680 what is 00:29:47.680 --> 00:29:48.220 understood as 00:29:48.220 --> 00:29:48.640 typical, 00:29:48.640 --> 00:29:50.740 think about 00:29:50.740 --> 00:29:51.720 your average 00:29:51.720 --> 00:29:53.800 college student 00:29:53.800 --> 00:29:55.360 on these 00:29:55.360 --> 00:29:55.800 campuses. 00:29:56.280 --> 00:29:56.940 That's the 00:29:56.940 --> 00:29:58.600 typical of 00:29:58.600 --> 00:29:59.440 which everybody 00:29:59.440 --> 00:30:00.259 is being 00:30:00.259 --> 00:30:00.740 evaluated. 00:30:03.220 --> 00:30:04.020 So, it's a 00:30:04.020 --> 00:30:04.340 bit of a 00:30:04.340 --> 00:30:04.560 skewed 00:30:04.560 --> 00:30:05.440 approach. 00:30:06.860 --> 00:30:07.900 But the fact 00:30:07.900 --> 00:30:08.440 is, it's real 00:30:08.440 --> 00:30:08.820 data. 00:30:09.280 --> 00:30:10.060 And they try 00:30:10.060 --> 00:30:10.520 to make 00:30:10.520 --> 00:30:12.100 allowances for 00:30:12.100 --> 00:30:12.380 that. 00:30:12.380 --> 00:30:13.600 but it's 00:30:13.600 --> 00:30:14.300 very difficult 00:30:14.300 --> 00:30:14.680 to do 00:30:14.680 --> 00:30:15.500 studies and 00:30:15.500 --> 00:30:16.040 find another 00:30:16.040 --> 00:30:16.760 population 00:30:16.760 --> 00:30:17.440 significant 00:30:17.440 --> 00:30:18.920 enough to 00:30:18.920 --> 00:30:19.400 be able to 00:30:19.400 --> 00:30:19.860 do voluntary 00:30:19.860 --> 00:30:20.520 studies at 00:30:20.520 --> 00:30:20.900 the level. 00:30:21.120 --> 00:30:21.540 And where 00:30:21.540 --> 00:30:21.840 are the 00:30:21.840 --> 00:30:22.280 studies being 00:30:22.280 --> 00:30:22.780 taking place? 00:30:23.900 --> 00:30:24.480 At 00:30:24.480 --> 00:30:25.040 universities. 00:30:27.240 --> 00:30:27.720 Right? 00:30:28.240 --> 00:30:28.680 So, the 00:30:28.680 --> 00:30:29.300 system is 00:30:29.300 --> 00:30:30.280 weighted, and 00:30:30.280 --> 00:30:30.800 it's not even 00:30:30.800 --> 00:30:33.080 what European 00:30:33.080 --> 00:30:33.640 is. 00:30:33.800 --> 00:30:34.500 It's American 00:30:34.500 --> 00:30:35.720 college students. 00:30:39.120 --> 00:30:39.600 Brainstance. 00:30:40.380 --> 00:30:40.860 Similar. 00:30:40.859 --> 00:30:41.259 They talk 00:30:41.259 --> 00:30:41.679 about brain 00:30:41.679 --> 00:30:41.879 scans. 00:30:41.979 --> 00:30:42.419 Brain scans 00:30:42.419 --> 00:30:42.759 show. 00:30:43.019 --> 00:30:43.359 First of 00:30:43.359 --> 00:30:43.740 all, brain 00:30:43.740 --> 00:30:44.759 scans do 00:30:44.759 --> 00:30:45.539 not show, 00:30:45.759 --> 00:30:46.439 based on an 00:30:46.439 --> 00:30:47.339 individual brain 00:30:47.339 --> 00:30:47.899 scan, this 00:30:47.899 --> 00:30:48.319 is how an 00:30:48.319 --> 00:30:51.059 individual, this 00:30:51.059 --> 00:30:51.959 indicates what 00:30:51.959 --> 00:30:52.379 an individual 00:30:52.379 --> 00:30:52.759 is dealing 00:30:52.759 --> 00:30:53.079 with. 00:30:53.740 --> 00:30:54.319 Brain scans 00:30:54.319 --> 00:30:55.279 show population. 00:30:55.519 --> 00:30:56.039 They can 00:30:56.039 --> 00:30:56.979 derive information 00:30:56.979 --> 00:30:58.079 about population. 00:30:58.240 --> 00:30:58.539 They can't 00:30:58.539 --> 00:30:59.339 derive information 00:30:59.339 --> 00:31:00.139 about individuals 00:31:00.139 --> 00:31:00.579 from brain 00:31:00.579 --> 00:31:00.799 scans. 00:31:01.479 --> 00:31:02.019 Second of 00:31:02.019 --> 00:31:02.399 all, most 00:31:02.399 --> 00:31:02.979 brain scans, 00:31:03.079 --> 00:31:03.419 about the 00:31:03.419 --> 00:31:03.859 same number, 00:31:03.959 --> 00:31:05.659 70%, are 00:31:05.659 --> 00:31:06.899 done voluntarily 00:31:06.899 --> 00:31:08.539 through college 00:31:08.539 --> 00:31:08.859 students. 00:31:08.859 --> 00:31:12.240 I want to 00:31:12.240 --> 00:31:13.679 say that 00:31:13.679 --> 00:31:14.559 we talk 00:31:14.559 --> 00:31:15.159 about data, 00:31:15.259 --> 00:31:16.179 the difficulty 00:31:16.179 --> 00:31:17.179 in gathering 00:31:17.179 --> 00:31:22.179 data upon 00:31:22.179 --> 00:31:22.779 which to 00:31:22.779 --> 00:31:24.039 develop theories 00:31:24.039 --> 00:31:25.359 and diagnoses 00:31:25.359 --> 00:31:26.919 is a profound 00:31:26.919 --> 00:31:27.899 challenge in 00:31:27.899 --> 00:31:29.139 the world of 00:31:29.139 --> 00:31:29.579 psychology. 00:31:29.740 --> 00:31:29.939 It's not 00:31:29.939 --> 00:31:30.359 something you 00:31:30.359 --> 00:31:32.079 have to deal 00:31:32.079 --> 00:31:32.399 with. 00:31:32.400 --> 00:31:36.940 also, in 00:31:36.940 --> 00:31:37.340 terms of 00:31:37.340 --> 00:31:39.320 critiques of 00:31:39.320 --> 00:31:40.519 the DSM, 00:31:40.780 --> 00:31:41.580 since the 00:31:41.580 --> 00:31:42.460 DSM is used 00:31:42.460 --> 00:31:42.980 to determine 00:31:42.980 --> 00:31:44.019 insurance coverage 00:31:44.019 --> 00:31:44.680 for treatment, 00:31:45.259 --> 00:31:45.700 there's an 00:31:45.700 --> 00:31:46.620 inherent tendency 00:31:46.620 --> 00:31:47.040 to make 00:31:47.040 --> 00:31:48.600 symptoms fit 00:31:48.600 --> 00:31:49.500 the diagnosis. 00:31:50.500 --> 00:31:50.880 I have a 00:31:50.880 --> 00:31:51.740 number of 00:31:51.740 --> 00:31:53.220 psychologists 00:31:53.220 --> 00:31:54.640 and folks in 00:31:54.640 --> 00:31:55.200 the church 00:31:55.200 --> 00:31:56.720 who then do 00:31:56.720 --> 00:31:59.220 diagnoses, 00:31:59.500 --> 00:31:59.860 and they'll 00:31:59.860 --> 00:32:00.080 say, 00:32:00.079 --> 00:32:00.339 listen, 00:32:00.500 --> 00:32:01.059 we know 00:32:01.059 --> 00:32:01.919 that unless 00:32:01.919 --> 00:32:02.599 we fill out 00:32:02.599 --> 00:32:03.159 the box 00:32:03.159 --> 00:32:03.839 with a 00:32:03.839 --> 00:32:04.220 category, 00:32:05.179 --> 00:32:05.619 we're not 00:32:05.619 --> 00:32:06.099 getting paid. 00:32:07.399 --> 00:32:07.939 That doesn't 00:32:07.939 --> 00:32:08.199 mean they're 00:32:08.199 --> 00:32:08.980 being irresponsible, 00:32:10.079 --> 00:32:10.799 but they 00:32:10.799 --> 00:32:11.539 approximate. 00:32:12.460 --> 00:32:13.299 Nothing really 00:32:13.299 --> 00:32:14.159 fits this here. 00:32:14.220 --> 00:32:14.599 I'm not sure 00:32:14.599 --> 00:32:15.059 they really, 00:32:15.139 --> 00:32:15.579 if I really 00:32:15.579 --> 00:32:16.259 diagnosed him, 00:32:16.359 --> 00:32:16.579 would say, 00:32:16.659 --> 00:32:16.799 yeah, 00:32:16.899 --> 00:32:17.619 this really 00:32:17.619 --> 00:32:18.699 does match 00:32:18.699 --> 00:32:19.199 this, 00:32:19.980 --> 00:32:21.500 or sufficiently 00:32:21.500 --> 00:32:22.119 match this, 00:32:22.179 --> 00:32:22.639 but they need 00:32:22.639 --> 00:32:23.159 a category 00:32:23.159 --> 00:32:24.659 for insurance 00:32:24.659 --> 00:32:25.079 to work, 00:32:25.079 --> 00:32:26.359 so they 00:32:26.359 --> 00:32:26.859 put a 00:32:26.859 --> 00:32:27.460 category in. 00:32:29.199 --> 00:32:29.399 So, 00:32:30.539 --> 00:32:36.619 what does it 00:32:36.619 --> 00:32:36.899 mean when 00:32:36.899 --> 00:32:37.500 someone receives 00:32:37.500 --> 00:32:38.079 a diagnosis? 00:32:39.359 --> 00:32:39.939 Psychiatric 00:32:39.939 --> 00:32:40.759 diagnosis is 00:32:40.759 --> 00:32:41.179 not the 00:32:41.179 --> 00:32:41.759 answer to 00:32:41.759 --> 00:32:43.099 problems we've 00:32:43.099 --> 00:32:43.519 been unable 00:32:43.519 --> 00:32:44.119 to address 00:32:44.119 --> 00:32:44.480 through our 00:32:44.480 --> 00:32:45.000 counseling and 00:32:45.000 --> 00:32:45.659 discipleship. 00:32:46.419 --> 00:32:47.059 It may 00:32:47.059 --> 00:32:47.659 offer a 00:32:47.659 --> 00:32:48.679 fresh category 00:32:48.679 --> 00:32:49.720 of experience 00:32:49.720 --> 00:32:51.139 and open up 00:32:51.139 --> 00:32:51.859 options for 00:32:51.859 --> 00:32:52.220 help, 00:32:52.220 --> 00:32:53.259 but it's 00:32:53.259 --> 00:32:53.579 not the 00:32:53.579 --> 00:32:54.039 definitive 00:32:54.039 --> 00:32:54.600 statement 00:32:54.600 --> 00:32:54.920 on a 00:32:54.920 --> 00:32:55.339 person's 00:32:55.339 --> 00:32:55.720 life. 00:32:57.559 --> 00:32:57.839 So, 00:32:58.440 --> 00:32:59.120 you're going 00:32:59.120 --> 00:32:59.640 to hear me 00:32:59.640 --> 00:33:00.019 over and 00:33:00.019 --> 00:33:00.220 over, 00:33:00.319 --> 00:33:00.500 and the 00:33:00.500 --> 00:33:00.860 tone you're 00:33:00.860 --> 00:33:00.980 going to 00:33:00.980 --> 00:33:01.339 get from 00:33:01.339 --> 00:33:01.720 me is, 00:33:02.059 --> 00:33:02.960 don't struggle 00:33:02.960 --> 00:33:03.579 with someone's 00:33:03.579 --> 00:33:04.059 diagnosis. 00:33:04.640 --> 00:33:05.480 Don't fight 00:33:05.480 --> 00:33:06.140 the battle 00:33:06.140 --> 00:33:06.779 of should 00:33:06.779 --> 00:33:07.140 you be 00:33:07.140 --> 00:33:07.600 diagnosed 00:33:07.600 --> 00:33:08.000 or not. 00:33:09.279 --> 00:33:10.140 I don't 00:33:10.140 --> 00:33:10.539 think it's 00:33:10.539 --> 00:33:10.779 going to 00:33:10.779 --> 00:33:11.339 help in 00:33:11.339 --> 00:33:11.600 what we're 00:33:11.600 --> 00:33:11.920 trying to 00:33:11.920 --> 00:33:12.160 do to 00:33:12.160 --> 00:33:12.319 help 00:33:12.319 --> 00:33:12.700 somebody. 00:33:15.420 --> 00:33:15.880 Diagnosis 00:33:15.880 --> 00:33:16.600 can be a 00:33:16.600 --> 00:33:17.339 helpful common 00:33:17.339 --> 00:33:17.940 ground when 00:33:17.940 --> 00:33:18.400 we begin to 00:33:18.400 --> 00:33:19.180 talk about 00:33:19.180 --> 00:33:20.259 complicated 00:33:20.259 --> 00:33:20.819 feelings, 00:33:20.980 --> 00:33:21.200 thoughts, 00:33:21.259 --> 00:33:21.700 and behavior 00:33:21.700 --> 00:33:22.180 patterns, 00:33:22.220 --> 00:33:23.360 with mutually 00:33:23.360 --> 00:33:23.779 understood 00:33:23.779 --> 00:33:24.500 categories. 00:33:24.680 --> 00:33:25.000 Ed Weld 00:33:25.000 --> 00:33:25.519 said this, 00:33:25.839 --> 00:33:26.620 people have 00:33:26.620 --> 00:33:27.559 cried when 00:33:27.559 --> 00:33:28.319 the DSM 00:33:28.319 --> 00:33:28.759 initially 00:33:28.759 --> 00:33:29.259 identified 00:33:29.259 --> 00:33:29.759 them. 00:33:30.240 --> 00:33:30.720 They found 00:33:30.720 --> 00:33:31.299 relief, 00:33:31.420 --> 00:33:31.940 even something 00:33:31.940 --> 00:33:32.460 close to 00:33:32.460 --> 00:33:32.819 joy, 00:33:33.299 --> 00:33:33.900 in finally 00:33:33.900 --> 00:33:34.779 having words 00:33:34.779 --> 00:33:35.160 for their 00:33:35.160 --> 00:33:35.579 struggle. 00:33:36.100 --> 00:33:36.519 They found 00:33:36.519 --> 00:33:37.039 comfort, 00:33:37.860 --> 00:33:38.380 though the 00:33:38.380 --> 00:33:38.980 instrument was 00:33:38.980 --> 00:33:39.400 only a 00:33:39.400 --> 00:33:40.100 definition in 00:33:40.100 --> 00:33:40.480 a book. 00:33:40.980 --> 00:33:41.319 We can 00:33:41.319 --> 00:33:42.019 understand how 00:33:42.019 --> 00:33:42.339 this could 00:33:42.339 --> 00:33:42.799 happen to 00:33:42.799 --> 00:33:43.299 a person 00:33:43.299 --> 00:33:44.140 who has 00:33:44.140 --> 00:33:44.759 long been 00:33:44.759 --> 00:33:45.559 misunderstood, 00:33:46.500 --> 00:33:47.160 but we 00:33:47.160 --> 00:33:47.880 might not 00:33:47.880 --> 00:33:48.579 foresee the 00:33:48.579 --> 00:33:49.279 consequences. 00:33:50.039 --> 00:33:50.420 As a 00:33:50.420 --> 00:33:51.279 general rule, 00:33:51.279 --> 00:33:52.139 whoever 00:33:52.139 --> 00:33:52.940 understands 00:33:52.940 --> 00:33:53.500 you best 00:33:53.500 --> 00:33:53.899 will have 00:33:53.899 --> 00:33:54.240 the most 00:33:54.240 --> 00:33:54.700 influence. 00:33:55.079 --> 00:33:55.480 One of my 00:33:55.480 --> 00:33:56.500 struggles with 00:33:56.500 --> 00:33:57.119 pastors who 00:33:57.119 --> 00:33:57.700 go after 00:33:57.700 --> 00:33:58.359 diagnostic 00:33:58.359 --> 00:33:59.740 language is 00:33:59.740 --> 00:34:00.759 they're not 00:34:00.759 --> 00:34:01.000 going to be 00:34:01.000 --> 00:34:01.680 as persuasive 00:34:01.680 --> 00:34:02.319 as whoever's 00:34:02.319 --> 00:34:03.180 diagnosing them. 00:34:04.019 --> 00:34:04.319 And a 00:34:04.319 --> 00:34:04.839 pastor's going 00:34:04.839 --> 00:34:05.299 to lose 00:34:05.299 --> 00:34:06.019 their voice 00:34:06.019 --> 00:34:06.819 when their 00:34:06.819 --> 00:34:07.279 voice should 00:34:07.279 --> 00:34:07.879 really matter. 00:34:09.039 --> 00:34:09.519 And so I 00:34:09.519 --> 00:34:10.039 just don't, 00:34:10.159 --> 00:34:11.460 when I teach 00:34:11.460 --> 00:34:12.179 in the past, 00:34:12.340 --> 00:34:13.920 do not be 00:34:13.920 --> 00:34:14.739 confrontational 00:34:14.739 --> 00:34:15.559 over diagnosis. 00:34:15.559 --> 00:34:15.619 diagnosis. 00:34:16.519 --> 00:34:17.119 It doesn't 00:34:17.119 --> 00:34:17.480 do any 00:34:17.480 --> 00:34:17.779 good. 00:34:18.880 --> 00:34:19.500 Diagnosis can 00:34:19.500 --> 00:34:19.940 be a helpful 00:34:19.940 --> 00:34:20.900 doorway into 00:34:20.900 --> 00:34:22.079 targeted treatment 00:34:22.079 --> 00:34:22.799 and support 00:34:22.799 --> 00:34:23.659 that's available 00:34:23.659 --> 00:34:24.139 in the mental 00:34:24.139 --> 00:34:24.519 health community. 00:34:24.639 --> 00:34:25.219 So if you 00:34:25.219 --> 00:34:25.599 have someone 00:34:25.599 --> 00:34:26.340 who's diagnosed 00:34:26.340 --> 00:34:26.880 bipolar, 00:34:27.259 --> 00:34:27.719 it does 00:34:27.719 --> 00:34:28.579 create a lane, 00:34:28.719 --> 00:34:29.179 creates a 00:34:29.179 --> 00:34:29.940 direction for 00:34:29.940 --> 00:34:30.579 them to go 00:34:30.579 --> 00:34:31.639 in so that 00:34:31.639 --> 00:34:32.199 they can be, 00:34:33.199 --> 00:34:33.619 so the 00:34:33.619 --> 00:34:34.639 medical treatment 00:34:34.639 --> 00:34:34.960 is helpful. 00:34:35.079 --> 00:34:35.360 And actually 00:34:35.360 --> 00:34:36.299 with bipolar, 00:34:36.799 --> 00:34:37.759 medication can 00:34:37.759 --> 00:34:39.119 be very important 00:34:39.119 --> 00:34:40.420 for bipolar 00:34:40.420 --> 00:34:40.920 tendencies. 00:34:40.920 --> 00:34:42.940 It can be a 00:34:42.940 --> 00:34:43.860 way to objectify 00:34:43.860 --> 00:34:44.599 a problem so 00:34:44.599 --> 00:34:44.940 that we can 00:34:44.940 --> 00:34:45.599 begin to look 00:34:45.599 --> 00:34:46.460 beyond it to 00:34:46.460 --> 00:34:46.860 the deeper 00:34:46.860 --> 00:34:47.440 issues of the 00:34:47.440 --> 00:34:47.740 heart. 00:34:48.340 --> 00:34:48.960 When someone 00:34:48.960 --> 00:34:49.519 comes in and 00:34:49.519 --> 00:34:49.960 says I've been 00:34:49.960 --> 00:34:50.960 diagnosed with 00:34:50.960 --> 00:34:52.139 this or this 00:34:52.139 --> 00:34:52.680 or this, 00:34:53.440 --> 00:34:54.260 it's part of 00:34:54.260 --> 00:34:54.940 their story to me. 00:34:55.639 --> 00:34:56.300 It's part of 00:34:56.300 --> 00:34:56.619 their self 00:34:56.619 --> 00:34:57.119 understanding. 00:34:57.260 --> 00:34:57.619 It's not the 00:34:57.619 --> 00:34:58.240 whole package. 00:34:59.000 --> 00:34:59.519 It's not everything 00:34:59.519 --> 00:35:00.039 about it. 00:35:00.119 --> 00:35:00.480 It's not the 00:35:00.480 --> 00:35:01.039 thing I focus 00:35:01.039 --> 00:35:01.300 on. 00:35:01.980 --> 00:35:02.480 This is part 00:35:02.480 --> 00:35:03.000 of your package. 00:35:04.280 --> 00:35:04.980 If you came 00:35:04.980 --> 00:35:05.360 in and you 00:35:05.360 --> 00:35:05.840 said I, 00:35:05.920 --> 00:35:06.200 you know, 00:35:06.320 --> 00:35:07.579 I start with 00:35:07.579 --> 00:35:08.019 homosexual 00:35:08.019 --> 00:35:10.900 thoughts and 00:35:10.900 --> 00:35:11.900 tendencies or 00:35:11.900 --> 00:35:12.460 past, 00:35:13.019 --> 00:35:13.539 that's not 00:35:13.539 --> 00:35:13.860 your whole 00:35:13.860 --> 00:35:14.180 story. 00:35:15.059 --> 00:35:15.920 It's part of 00:35:15.920 --> 00:35:16.200 the story. 00:35:16.639 --> 00:35:17.960 I live as a 00:35:17.960 --> 00:35:18.800 minority in 00:35:18.800 --> 00:35:19.320 a majority 00:35:19.320 --> 00:35:19.780 culture. 00:35:19.920 --> 00:35:20.519 That's part of 00:35:20.519 --> 00:35:20.940 your story. 00:35:21.039 --> 00:35:21.200 It's not 00:35:21.200 --> 00:35:22.000 defining it. 00:35:23.780 --> 00:35:24.619 I don't want 00:35:24.619 --> 00:35:25.200 anything like 00:35:25.200 --> 00:35:25.880 that to be 00:35:25.880 --> 00:35:26.760 the thing that 00:35:26.760 --> 00:35:27.880 sets up between 00:35:27.880 --> 00:35:28.460 us in 00:35:28.460 --> 00:35:29.160 relationship. 00:35:30.900 --> 00:35:31.380 And 00:35:31.380 --> 00:35:33.579 diagnosis can 00:35:33.579 --> 00:35:34.059 allow us to 00:35:34.059 --> 00:35:34.920 identify and 00:35:34.920 --> 00:35:35.340 work with 00:35:35.340 --> 00:35:36.180 risk factors 00:35:36.180 --> 00:35:36.800 that are known 00:35:36.800 --> 00:35:37.700 to be associated 00:35:37.700 --> 00:35:38.519 with the 00:35:38.519 --> 00:35:38.900 diagnosed 00:35:38.900 --> 00:35:39.260 condition. 00:35:39.400 --> 00:35:39.660 So if 00:35:39.660 --> 00:35:40.099 somebody is 00:35:40.099 --> 00:35:40.599 diagnosed with 00:35:40.599 --> 00:35:40.880 something, 00:35:40.900 --> 00:35:41.900 it might 00:35:41.900 --> 00:35:42.260 help us 00:35:42.260 --> 00:35:42.519 see that 00:35:42.519 --> 00:35:43.260 they may 00:35:43.260 --> 00:35:44.079 be vulnerable 00:35:44.079 --> 00:35:44.960 to suicidal 00:35:44.960 --> 00:35:46.480 tendencies in 00:35:46.480 --> 00:35:46.900 a way that 00:35:46.900 --> 00:35:47.420 didn't present 00:35:47.420 --> 00:35:48.220 themselves before. 00:35:50.340 --> 00:35:50.920 And it 00:35:50.920 --> 00:35:51.240 gives us 00:35:51.240 --> 00:35:51.680 ways to 00:35:51.680 --> 00:35:52.039 extend 00:35:52.039 --> 00:35:52.660 compassion. 00:35:53.940 --> 00:35:54.420 When someone 00:35:54.420 --> 00:35:55.320 talks about a 00:35:55.320 --> 00:35:55.780 diagnosis, 00:35:55.980 --> 00:35:56.420 Ed Welch 00:35:56.420 --> 00:35:56.960 advocates, 00:35:57.059 --> 00:35:57.420 we simply 00:35:57.420 --> 00:35:57.740 ask, 00:35:57.840 --> 00:35:58.260 how can I 00:35:58.260 --> 00:35:58.619 pray for 00:35:58.619 --> 00:35:58.860 you with 00:35:58.860 --> 00:35:59.059 that? 00:36:00.180 --> 00:36:00.420 You know, 00:36:00.480 --> 00:36:01.300 turn the 00:36:01.300 --> 00:36:02.019 diagnosis and 00:36:02.019 --> 00:36:02.280 I'm going to 00:36:02.280 --> 00:36:02.639 pray. 00:36:03.900 --> 00:36:04.720 Bottom line, 00:36:06.160 --> 00:36:06.720 presence of a 00:36:06.720 --> 00:36:07.440 diagnosis is a 00:36:07.440 --> 00:36:07.980 factor in 00:36:07.980 --> 00:36:08.340 ministry. 00:36:08.660 --> 00:36:09.360 It's not the 00:36:09.360 --> 00:36:10.559 determining reality 00:36:10.559 --> 00:36:11.199 in ministry. 00:36:11.320 --> 00:36:11.820 Don't fear 00:36:11.820 --> 00:36:12.019 it. 00:36:12.400 --> 00:36:12.739 Don't 00:36:12.739 --> 00:36:13.500 denigrate it. 00:36:14.000 --> 00:36:14.759 Fold it into 00:36:14.759 --> 00:36:15.139 the bigger 00:36:15.139 --> 00:36:15.699 picture of 00:36:15.699 --> 00:36:16.079 someone's 00:36:16.079 --> 00:36:16.840 experience and 00:36:16.840 --> 00:36:17.699 orientation as 00:36:17.699 --> 00:36:18.119 you help them 00:36:18.119 --> 00:36:19.039 find grace in 00:36:19.039 --> 00:36:19.659 time of need. 00:36:20.679 --> 00:36:21.139 So any 00:36:21.139 --> 00:36:21.679 questions about 00:36:21.679 --> 00:36:22.239 diagnosis? 00:36:22.239 --> 00:36:23.239 things about 00:36:23.239 --> 00:36:22.399 this? 00:36:22.399 --> 00:36:23.179 So we 00:36:23.179 --> 00:36:23.579 move on. 00:36:24.679 --> 00:36:24.919 A lot 00:36:24.919 --> 00:36:25.239 more I can 00:36:25.239 --> 00:36:25.519 say, but 00:36:25.519 --> 00:36:25.699 I'm just 00:36:25.699 --> 00:36:25.799 going to 00:36:25.799 --> 00:36:26.059 give you a 00:36:26.059 --> 00:36:26.279 feel. 00:36:32.339 --> 00:36:32.819 Psychiatric 00:36:32.819 --> 00:36:33.439 medication. 00:36:34.659 --> 00:36:34.939 Mike 00:36:34.939 --> 00:36:35.639 is a 00:36:35.639 --> 00:36:36.319 medical 00:36:36.319 --> 00:36:36.979 doctor and 00:36:36.979 --> 00:36:37.259 a 00:36:37.259 --> 00:36:38.079 counselor. 00:36:38.079 --> 00:36:38.439 He says, 00:36:38.539 --> 00:36:39.000 the realm of 00:36:39.000 --> 00:36:40.879 psychiatry is 00:36:40.879 --> 00:36:41.339 trying to 00:36:41.339 --> 00:36:41.739 determine 00:36:41.739 --> 00:36:42.879 pathology in 00:36:42.879 --> 00:36:43.199 the most 00:36:43.199 --> 00:36:44.219 complicated area 00:36:44.219 --> 00:36:44.639 of the human 00:36:44.639 --> 00:36:45.579 body, which 00:36:45.579 --> 00:36:45.859 is the 00:36:45.859 --> 00:36:46.139 brain. 00:36:46.139 --> 00:36:51.199 I'm going 00:36:51.199 --> 00:36:52.119 to abbreviate 00:36:52.119 --> 00:36:53.500 this a bit. 00:36:53.500 --> 00:37:03.000 What's 00:37:03.000 --> 00:37:03.619 known about 00:37:03.619 --> 00:37:04.579 the use of 00:37:04.579 --> 00:37:05.340 psychotropic 00:37:05.340 --> 00:37:06.000 medications 00:37:06.000 --> 00:37:10.820 is unclear 00:37:10.820 --> 00:37:11.679 compared with 00:37:11.679 --> 00:37:12.460 the proliferation 00:37:12.460 --> 00:37:12.900 of use. 00:37:12.980 --> 00:37:13.260 I've already 00:37:13.260 --> 00:37:13.800 mentioned the 00:37:13.800 --> 00:37:14.539 tendency as 00:37:14.539 --> 00:37:15.099 a go-to, 00:37:15.940 --> 00:37:16.519 particularly for 00:37:16.519 --> 00:37:17.800 non-critical 00:37:17.800 --> 00:37:18.599 cases, people 00:37:18.599 --> 00:37:19.760 who are able 00:37:19.760 --> 00:37:20.179 to function 00:37:20.179 --> 00:37:20.639 in general 00:37:20.639 --> 00:37:21.139 in the world 00:37:21.139 --> 00:37:22.280 but maybe 00:37:22.280 --> 00:37:22.840 struggle with 00:37:22.840 --> 00:37:23.519 depressive 00:37:23.519 --> 00:37:24.360 tendencies or 00:37:24.360 --> 00:37:24.780 struggle with 00:37:24.780 --> 00:37:25.820 anxiety tendencies. 00:37:27.180 --> 00:37:28.059 Medication is 00:37:28.059 --> 00:37:28.720 a go-to. 00:37:30.120 --> 00:37:30.960 The amount 00:37:30.960 --> 00:37:31.500 of medication 00:37:31.500 --> 00:37:32.180 people get. 00:37:32.400 --> 00:37:33.220 My concern 00:37:33.220 --> 00:37:34.019 about medications 00:37:34.019 --> 00:37:35.760 is not that 00:37:35.760 --> 00:37:36.500 they're used, 00:37:36.940 --> 00:37:37.579 it's that 00:37:37.579 --> 00:37:39.720 they're 00:37:39.720 --> 00:37:42.380 misused. 00:37:43.960 --> 00:37:44.340 They're 00:37:44.340 --> 00:37:47.320 used to 00:37:47.320 --> 00:37:48.640 deal with 00:37:48.640 --> 00:37:50.180 lifestyle 00:37:50.180 --> 00:37:50.760 problems 00:37:50.760 --> 00:37:51.960 rather than 00:37:51.960 --> 00:37:52.400 dealing with 00:37:52.400 --> 00:37:52.760 lifestyle. 00:37:53.900 --> 00:37:54.280 They're 00:37:54.280 --> 00:37:55.760 not 00:37:55.760 --> 00:37:59.660 prescribed by 00:37:59.660 --> 00:38:00.079 people who 00:38:00.079 --> 00:38:00.940 understand it. 00:38:01.639 --> 00:38:02.000 A lot of 00:38:02.000 --> 00:38:02.400 times these 00:38:02.400 --> 00:38:02.800 days it's 00:38:02.800 --> 00:38:03.039 general 00:38:03.039 --> 00:38:03.700 practitioners 00:38:03.700 --> 00:38:05.599 prescribing 00:38:05.599 --> 00:38:06.800 medication but 00:38:06.800 --> 00:38:07.099 they're not 00:38:07.099 --> 00:38:07.740 managing and 00:38:07.740 --> 00:38:08.400 monitoring it. 00:38:08.760 --> 00:38:09.400 Anytime you're 00:38:09.400 --> 00:38:09.800 using a 00:38:09.800 --> 00:38:10.119 psychiatric 00:38:10.119 --> 00:38:11.079 medication you 00:38:11.079 --> 00:38:12.260 need active 00:38:12.260 --> 00:38:12.800 management. 00:38:13.180 --> 00:38:13.780 Somebody needs 00:38:13.780 --> 00:38:13.920 that. 00:38:13.960 --> 00:38:14.220 When I'm 00:38:14.220 --> 00:38:14.539 talking to 00:38:14.539 --> 00:38:14.940 somebody who's 00:38:14.940 --> 00:38:15.539 on medication 00:38:15.539 --> 00:38:16.519 the first 00:38:16.519 --> 00:38:17.099 question I 00:38:17.099 --> 00:38:17.639 ask is are 00:38:17.639 --> 00:38:18.139 you getting 00:38:18.139 --> 00:38:18.660 managed for 00:38:18.660 --> 00:38:18.740 that? 00:38:18.740 --> 00:38:18.960 Who's 00:38:18.960 --> 00:38:19.639 managing that 00:38:19.639 --> 00:38:19.960 for you? 00:38:21.219 --> 00:38:21.839 Often you'll 00:38:21.839 --> 00:38:22.519 see stacked 00:38:22.519 --> 00:38:23.099 medications. 00:38:23.299 --> 00:38:23.559 This is 00:38:23.559 --> 00:38:23.980 having this 00:38:23.980 --> 00:38:24.339 effect. 00:38:24.480 --> 00:38:25.219 Let's add 00:38:25.219 --> 00:38:25.879 this medication 00:38:25.879 --> 00:38:26.400 over that 00:38:26.400 --> 00:38:26.679 effect. 00:38:27.000 --> 00:38:27.460 I had one 00:38:27.460 --> 00:38:27.900 at one time 00:38:27.900 --> 00:38:28.219 she had 00:38:28.219 --> 00:38:28.879 seven stacked 00:38:28.879 --> 00:38:29.319 medications. 00:38:30.699 --> 00:38:31.199 Because a lot 00:38:31.199 --> 00:38:31.679 of times she's 00:38:31.679 --> 00:38:31.940 going to 00:38:31.940 --> 00:38:32.199 different 00:38:32.199 --> 00:38:33.000 specials. 00:38:33.000 --> 00:38:34.639 people are 00:38:34.639 --> 00:38:35.360 not looking 00:38:35.360 --> 00:38:35.619 at their 00:38:35.619 --> 00:38:36.059 charts. 00:38:36.219 --> 00:38:36.340 They're 00:38:36.340 --> 00:38:36.500 just 00:38:36.500 --> 00:38:38.199 prescribing. 00:38:40.260 --> 00:38:40.980 Individually 00:38:40.980 --> 00:38:41.300 not 00:38:41.300 --> 00:38:41.860 irresponsible. 00:38:42.079 --> 00:38:42.619 Collectively 00:38:42.619 --> 00:38:43.179 irresponsible. 00:38:44.139 --> 00:38:45.840 People don't 00:38:45.840 --> 00:38:46.579 recognize that 00:38:46.579 --> 00:38:47.360 this medication 00:38:47.360 --> 00:38:48.159 with alcohol 00:38:48.159 --> 00:38:51.119 is a 00:38:51.119 --> 00:38:51.719 disaster. 00:38:52.219 --> 00:38:52.880 Or drugs. 00:38:53.320 --> 00:38:54.539 Or sleep 00:38:54.539 --> 00:38:55.019 patterns. 00:38:55.519 --> 00:38:56.719 Or other 00:38:56.719 --> 00:38:57.260 things. 00:38:57.699 --> 00:38:58.880 Or the 00:38:58.880 --> 00:38:59.380 nature of 00:38:59.380 --> 00:38:59.980 your environment. 00:39:00.800 --> 00:39:01.340 The idea 00:39:01.340 --> 00:39:02.059 that the 00:39:02.059 --> 00:39:02.619 tendency to 00:39:02.619 --> 00:39:02.860 want to 00:39:02.860 --> 00:39:03.599 use medication 00:39:03.599 --> 00:39:04.400 fits people 00:39:04.400 --> 00:39:04.739 who want 00:39:04.739 --> 00:39:05.559 to solve 00:39:05.559 --> 00:39:06.039 the problem 00:39:06.039 --> 00:39:06.380 and move 00:39:06.380 --> 00:39:06.639 on. 00:39:08.159 --> 00:39:09.000 But I'll 00:39:09.000 --> 00:39:09.539 use depression 00:39:09.539 --> 00:39:10.159 for example. 00:39:10.940 --> 00:39:12.119 Depression is 00:39:12.119 --> 00:39:13.659 probably the 00:39:13.659 --> 00:39:14.739 most difficult 00:39:14.739 --> 00:39:16.880 issue to 00:39:16.880 --> 00:39:18.539 diagnose and 00:39:18.539 --> 00:39:18.840 treat. 00:39:20.079 --> 00:39:20.579 Prove in 00:39:20.579 --> 00:39:21.000 that way. 00:39:21.440 --> 00:39:22.119 Medications are 00:39:22.119 --> 00:39:23.039 having very 00:39:23.039 --> 00:39:23.679 little effect 00:39:23.679 --> 00:39:24.199 on depression. 00:39:24.980 --> 00:39:25.920 A good 00:39:25.920 --> 00:39:26.579 medication of 00:39:26.579 --> 00:39:27.139 any kind 00:39:27.139 --> 00:39:28.259 should not 00:39:28.259 --> 00:39:29.000 eliminate the 00:39:29.000 --> 00:39:29.299 issue. 00:39:29.300 --> 00:39:29.860 it should 00:39:29.860 --> 00:39:30.480 help somebody 00:39:30.480 --> 00:39:31.039 go from 00:39:31.039 --> 00:39:32.100 extremes 00:39:32.100 --> 00:39:33.300 to a 00:39:33.300 --> 00:39:33.660 manageable 00:39:33.660 --> 00:39:34.280 level so 00:39:34.280 --> 00:39:34.920 that lifestyle 00:39:34.920 --> 00:39:35.480 can take 00:39:35.480 --> 00:39:35.740 over. 00:39:37.000 --> 00:39:37.420 That's what 00:39:37.420 --> 00:39:37.660 you want 00:39:37.660 --> 00:39:38.360 medication to 00:39:38.360 --> 00:39:38.560 do. 00:39:39.080 --> 00:39:39.480 If someone 00:39:39.480 --> 00:39:40.380 is really 00:39:40.380 --> 00:39:40.820 struggling with 00:39:40.820 --> 00:39:41.200 depression, 00:39:41.860 --> 00:39:42.460 a medication 00:39:42.460 --> 00:39:43.220 can help 00:39:43.220 --> 00:39:43.960 them come up 00:39:43.960 --> 00:39:44.660 enough to 00:39:44.660 --> 00:39:45.019 deal with 00:39:45.019 --> 00:39:45.240 the other 00:39:45.240 --> 00:39:45.500 life. 00:39:45.980 --> 00:39:47.060 If you want 00:39:47.060 --> 00:39:47.360 to know what 00:39:47.360 --> 00:39:47.740 the go-to 00:39:47.740 --> 00:39:48.260 treatment right 00:39:48.260 --> 00:39:48.600 now for 00:39:48.600 --> 00:39:49.340 depression is, 00:39:50.120 --> 00:39:50.580 exercise. 00:39:52.160 --> 00:39:52.780 That's what 00:39:52.780 --> 00:39:53.460 people say is 00:39:53.460 --> 00:39:53.860 the most 00:39:53.860 --> 00:39:54.660 effective thing. 00:39:55.600 --> 00:39:57.000 Or service. 00:39:57.000 --> 00:39:58.739 depression is 00:39:58.739 --> 00:39:59.119 your mind 00:39:59.119 --> 00:39:59.360 out of 00:39:59.360 --> 00:39:59.739 yourself. 00:40:01.179 --> 00:40:02.260 Really, a 00:40:02.260 --> 00:40:03.099 combination of 00:40:03.099 --> 00:40:03.360 things. 00:40:04.320 --> 00:40:04.980 What they 00:40:04.980 --> 00:40:05.340 see with 00:40:05.340 --> 00:40:05.760 depression 00:40:05.760 --> 00:40:07.539 increasingly is 00:40:07.539 --> 00:40:08.500 all these 00:40:08.500 --> 00:40:09.039 factors. 00:40:10.500 --> 00:40:11.260 It's a 00:40:11.260 --> 00:40:12.619 lifestyle-related 00:40:12.619 --> 00:40:15.139 disability. 00:40:16.420 --> 00:40:16.900 It doesn't 00:40:16.900 --> 00:40:17.440 mean that you 00:40:17.440 --> 00:40:18.099 don't have 00:40:18.099 --> 00:40:19.000 a 00:40:19.000 --> 00:40:20.260 revelation 00:40:20.260 --> 00:40:20.880 toward it. 00:40:22.099 --> 00:40:22.800 It doesn't 00:40:22.800 --> 00:40:23.039 mean you 00:40:23.039 --> 00:40:23.280 don't even 00:40:23.280 --> 00:40:23.880 have reasons 00:40:23.880 --> 00:40:24.920 for that. 00:40:24.920 --> 00:40:26.680 depression 00:40:26.680 --> 00:40:27.400 itself 00:40:27.400 --> 00:40:28.240 defies 00:40:28.240 --> 00:40:29.240 reason. 00:40:30.800 --> 00:40:31.380 It's a 00:40:31.380 --> 00:40:32.180 denial of 00:40:32.180 --> 00:40:32.900 everything in 00:40:32.900 --> 00:40:33.500 the pursuit 00:40:33.500 --> 00:40:34.400 of one 00:40:34.400 --> 00:40:34.940 thing, which 00:40:34.940 --> 00:40:35.639 is I 00:40:35.639 --> 00:40:37.900 can't 00:40:37.900 --> 00:40:38.360 function. 00:40:44.079 --> 00:40:44.639 It's 00:40:44.639 --> 00:40:44.800 just 00:40:44.800 --> 00:40:45.559 incredibly 00:40:45.559 --> 00:40:45.960 difficult. 00:40:46.119 --> 00:40:46.800 Anxiety is 00:40:46.800 --> 00:40:47.360 emerging as 00:40:47.360 --> 00:40:47.680 the other 00:40:47.680 --> 00:40:47.920 one. 00:40:49.659 --> 00:40:50.280 Why are 00:40:50.280 --> 00:40:50.579 some people 00:40:50.579 --> 00:40:51.099 anxious over 00:40:51.099 --> 00:40:51.480 this, other 00:40:51.480 --> 00:40:51.980 people not? 00:40:52.159 --> 00:40:52.440 Why are 00:40:52.440 --> 00:40:52.680 some people 00:40:52.680 --> 00:40:53.260 depressed over 00:40:53.260 --> 00:40:53.680 this, other 00:40:53.680 --> 00:40:54.200 people not? 00:40:54.920 --> 00:40:55.180 Why are 00:40:55.180 --> 00:40:55.440 some people 00:40:55.440 --> 00:40:55.900 resilient 00:40:55.900 --> 00:40:56.400 other people 00:40:56.400 --> 00:40:56.700 aren't? 00:40:57.659 --> 00:40:58.200 It looks 00:40:58.200 --> 00:40:58.820 like people 00:40:58.820 --> 00:40:59.059 who are 00:40:59.059 --> 00:40:59.700 in community, 00:41:00.380 --> 00:41:00.740 if they 00:41:00.740 --> 00:41:01.180 struggle with 00:41:01.180 --> 00:41:01.559 these things, 00:41:01.619 --> 00:41:02.039 they struggle 00:41:02.039 --> 00:41:02.539 better than 00:41:02.539 --> 00:41:02.880 people who 00:41:02.880 --> 00:41:03.079 are not 00:41:03.079 --> 00:41:03.440 in community. 00:41:03.900 --> 00:41:04.180 It seems 00:41:04.180 --> 00:41:04.460 like if 00:41:04.460 --> 00:41:04.980 people spend 00:41:04.980 --> 00:41:05.280 all their 00:41:05.280 --> 00:41:07.159 time doom 00:41:07.159 --> 00:41:07.539 searching, 00:41:08.119 --> 00:41:09.159 they're more 00:41:09.159 --> 00:41:09.940 likely to 00:41:09.940 --> 00:41:10.320 start with 00:41:10.320 --> 00:41:10.740 this than 00:41:10.740 --> 00:41:11.200 people who 00:41:11.200 --> 00:41:11.700 don't spend 00:41:11.700 --> 00:41:12.220 time doom 00:41:12.220 --> 00:41:12.539 searching. 00:41:13.500 --> 00:41:13.940 It seems 00:41:13.940 --> 00:41:15.659 like these 00:41:15.659 --> 00:41:15.940 are all 00:41:15.940 --> 00:41:16.340 factors. 00:41:16.480 --> 00:41:17.079 They're social 00:41:17.079 --> 00:41:17.960 factors that 00:41:17.960 --> 00:41:18.420 play into 00:41:18.420 --> 00:41:19.280 this. 00:41:19.559 --> 00:41:20.059 The problem 00:41:20.059 --> 00:41:20.680 is medication 00:41:20.680 --> 00:41:21.159 wants to 00:41:21.159 --> 00:41:21.800 alleviate it 00:41:21.800 --> 00:41:22.039 all. 00:41:26.780 --> 00:41:27.380 There's a 00:41:27.380 --> 00:41:27.700 quote from 00:41:27.700 --> 00:41:28.100 Brad Hamrick, 00:41:28.140 --> 00:41:28.440 I'll just 00:41:28.440 --> 00:41:29.300 summarize it. 00:41:29.400 --> 00:41:29.800 He basically 00:41:29.800 --> 00:41:30.160 says, 00:41:31.160 --> 00:41:32.180 medication can 00:41:32.180 --> 00:41:33.120 function for 00:41:33.120 --> 00:41:33.860 you, but 00:41:33.860 --> 00:41:34.440 it will never 00:41:34.440 --> 00:41:36.280 improve the 00:41:36.280 --> 00:41:37.000 standard to 00:41:37.000 --> 00:41:37.420 which you're 00:41:37.420 --> 00:41:38.120 capable of 00:41:38.120 --> 00:41:38.360 living. 00:41:38.620 --> 00:41:39.519 It will keep 00:41:39.519 --> 00:41:40.840 you at a 00:41:40.840 --> 00:41:41.580 state where 00:41:41.580 --> 00:41:42.160 you can make 00:41:42.160 --> 00:41:42.920 choices to 00:41:42.920 --> 00:41:43.500 improve that 00:41:43.500 --> 00:41:44.680 standard, but 00:41:44.680 --> 00:41:45.519 medication alone 00:41:45.519 --> 00:41:45.920 will never 00:41:45.920 --> 00:41:46.680 improve your 00:41:46.680 --> 00:41:47.080 standard. 00:41:47.960 --> 00:41:48.580 That comes 00:41:48.579 --> 00:41:48.940 from other 00:41:48.940 --> 00:41:49.299 things. 00:41:50.340 --> 00:41:50.599 Any 00:41:50.599 --> 00:41:51.219 questions about 00:41:51.219 --> 00:41:51.739 medication? 00:41:57.559 --> 00:41:58.259 Okay, and 00:41:58.259 --> 00:41:59.059 then personal 00:41:59.059 --> 00:41:59.500 ministry in 00:41:59.500 --> 00:41:59.639 the mental 00:41:59.639 --> 00:42:00.299 health world. 00:42:03.920 --> 00:42:04.699 How do we 00:42:04.699 --> 00:42:05.219 minister to 00:42:05.219 --> 00:42:05.519 folks? 00:42:07.699 --> 00:42:08.219 We first 00:42:08.219 --> 00:42:08.380 of all 00:42:08.380 --> 00:42:08.679 understand, 00:42:08.779 --> 00:42:09.019 particularly 00:42:09.019 --> 00:42:10.319 for some 00:42:10.319 --> 00:42:10.679 of these 00:42:10.679 --> 00:42:12.699 struggles that 00:42:12.699 --> 00:42:13.920 create 00:42:13.920 --> 00:42:14.639 isolation, 00:42:15.559 --> 00:42:17.440 that complicates 00:42:17.440 --> 00:42:18.039 someone's life 00:42:18.039 --> 00:42:18.320 and their 00:42:18.320 --> 00:42:19.440 choices and 00:42:19.440 --> 00:42:19.940 decisions. 00:42:21.639 --> 00:42:22.460 A person 00:42:22.460 --> 00:42:23.239 who's experiencing 00:42:23.239 --> 00:42:23.840 something that 00:42:23.840 --> 00:42:24.259 has mental 00:42:24.259 --> 00:42:25.079 health implications 00:42:25.079 --> 00:42:25.960 is suffering, 00:42:26.279 --> 00:42:26.820 even if they 00:42:26.820 --> 00:42:27.779 don't experience 00:42:27.779 --> 00:42:28.619 the suffering. 00:42:28.880 --> 00:42:29.259 One of the 00:42:29.259 --> 00:42:29.940 challenges with 00:42:29.940 --> 00:42:30.279 dealing with 00:42:30.279 --> 00:42:30.679 someone who's 00:42:30.679 --> 00:42:32.380 manic is they 00:42:32.380 --> 00:42:32.779 don't think they 00:42:32.779 --> 00:42:33.259 have a problem. 00:42:34.659 --> 00:42:35.519 They're great. 00:42:35.699 --> 00:42:36.300 I'm finally 00:42:36.300 --> 00:42:38.000 great as 00:42:38.000 --> 00:42:38.920 they're trashing 00:42:38.920 --> 00:42:40.500 their lives and 00:42:40.500 --> 00:42:41.019 the lives of 00:42:41.019 --> 00:42:41.380 people around 00:42:41.380 --> 00:42:41.639 them. 00:42:43.360 --> 00:42:44.079 I'm dealing 00:42:44.079 --> 00:42:45.039 with a woman 00:42:45.039 --> 00:42:45.420 in our church 00:42:45.420 --> 00:42:46.639 right now who's 00:42:46.639 --> 00:42:47.699 carrying on 00:42:47.699 --> 00:42:48.239 delusional. 00:42:49.279 --> 00:42:51.119 I get daily 00:42:51.119 --> 00:42:52.619 emails from 00:42:52.619 --> 00:42:53.379 her about 00:42:53.379 --> 00:42:53.819 what her 00:42:53.819 --> 00:42:54.339 neighbors are 00:42:54.339 --> 00:42:54.519 doing. 00:42:54.659 --> 00:42:55.179 They're boring 00:42:55.179 --> 00:42:55.739 through my 00:42:55.739 --> 00:42:57.079 walls. 00:42:57.719 --> 00:42:58.579 They came in 00:42:58.579 --> 00:42:58.839 and they 00:42:58.839 --> 00:42:59.460 burned my 00:42:59.460 --> 00:43:00.179 computer. 00:43:01.139 --> 00:43:02.859 This man 00:43:02.859 --> 00:43:03.939 who used to 00:43:03.939 --> 00:43:04.919 want me to 00:43:04.919 --> 00:43:05.659 be his wife 00:43:05.659 --> 00:43:06.239 is now 00:43:06.239 --> 00:43:06.919 walking around 00:43:06.919 --> 00:43:07.419 my neighborhood. 00:43:07.819 --> 00:43:08.480 I have no 00:43:08.480 --> 00:43:09.519 idea what's 00:43:09.519 --> 00:43:09.879 true. 00:43:09.880 --> 00:43:10.000 her. 00:43:10.420 --> 00:43:13.119 I just 00:43:13.119 --> 00:43:13.680 interact with 00:43:13.680 --> 00:43:14.300 her over 00:43:14.300 --> 00:43:14.579 it. 00:43:15.400 --> 00:43:15.800 Why? 00:43:16.039 --> 00:43:16.559 Because if 00:43:16.559 --> 00:43:17.300 you deal 00:43:17.300 --> 00:43:17.640 with people 00:43:17.640 --> 00:43:17.920 who are 00:43:17.920 --> 00:43:18.519 delusional, 00:43:19.019 --> 00:43:19.300 you will 00:43:19.300 --> 00:43:19.840 find that if 00:43:19.840 --> 00:43:20.320 you confront 00:43:20.320 --> 00:43:20.920 delusion, 00:43:21.140 --> 00:43:21.500 it actually 00:43:21.500 --> 00:43:22.059 reinforces 00:43:22.059 --> 00:43:22.559 the delusion. 00:43:23.320 --> 00:43:23.700 Now you 00:43:23.700 --> 00:43:24.180 become part 00:43:24.180 --> 00:43:24.400 of the 00:43:24.400 --> 00:43:24.700 delusion. 00:43:26.240 --> 00:43:26.880 Now you're 00:43:26.880 --> 00:43:27.280 wrapped in. 00:43:27.340 --> 00:43:27.760 Now you can't 00:43:27.760 --> 00:43:28.079 help them. 00:43:29.519 --> 00:43:30.680 My job as a 00:43:30.680 --> 00:43:31.900 pastor is to 00:43:31.900 --> 00:43:32.619 stay in touch, 00:43:32.740 --> 00:43:33.099 stay in 00:43:33.099 --> 00:43:33.539 contact, 00:43:33.960 --> 00:43:34.360 because I 00:43:34.360 --> 00:43:34.960 want to see if 00:43:34.960 --> 00:43:35.619 those delusions 00:43:35.619 --> 00:43:36.460 become dangerous 00:43:36.460 --> 00:43:37.039 to her and to 00:43:37.039 --> 00:43:37.519 other people. 00:43:37.519 --> 00:43:38.840 up to this 00:43:38.840 --> 00:43:39.639 point, it's 00:43:39.639 --> 00:43:40.420 pretty clear the 00:43:40.420 --> 00:43:41.480 pattern is 00:43:41.480 --> 00:43:41.980 whenever she 00:43:41.980 --> 00:43:42.500 has life 00:43:42.500 --> 00:43:42.940 stress. 00:43:43.420 --> 00:43:44.259 If I gave 00:43:44.259 --> 00:43:44.860 you my own 00:43:44.860 --> 00:43:45.980 diagnosis, I 00:43:45.980 --> 00:43:46.619 would say that 00:43:46.619 --> 00:43:47.039 she's a 00:43:47.039 --> 00:43:48.059 woman, a 00:43:48.059 --> 00:43:48.820 very bright 00:43:48.820 --> 00:43:50.840 woman, who 00:43:50.840 --> 00:43:51.420 has never 00:43:51.420 --> 00:43:52.159 been able to 00:43:52.159 --> 00:43:52.860 acknowledge 00:43:52.860 --> 00:43:54.880 wrong on 00:43:54.880 --> 00:43:55.340 her side. 00:43:56.900 --> 00:43:58.039 And I've 00:43:58.039 --> 00:43:58.960 dealt with 00:43:58.960 --> 00:43:59.280 two or three 00:43:59.280 --> 00:43:59.820 people who 00:43:59.820 --> 00:44:00.519 have this 00:44:00.519 --> 00:44:01.059 tendency to 00:44:01.059 --> 00:44:01.699 be delusional. 00:44:02.159 --> 00:44:02.619 The thing I've 00:44:02.619 --> 00:44:03.019 seen coming 00:44:03.019 --> 00:44:03.639 out is they 00:44:03.639 --> 00:44:04.639 don't, they 00:44:04.639 --> 00:44:05.699 can't say I'm 00:44:05.699 --> 00:44:06.059 wrong. 00:44:06.059 --> 00:44:08.059 And that 00:44:08.059 --> 00:44:08.360 may have 00:44:08.360 --> 00:44:08.599 been something 00:44:08.599 --> 00:44:08.880 that happened 00:44:08.880 --> 00:44:09.519 in their past, 00:44:09.619 --> 00:44:09.980 maybe something 00:44:09.980 --> 00:44:10.219 that don't 00:44:10.219 --> 00:44:10.759 mean to train, 00:44:10.840 --> 00:44:11.239 whatever it 00:44:11.239 --> 00:44:11.559 is, may 00:44:11.559 --> 00:44:12.400 just be the 00:44:12.400 --> 00:44:12.699 sin of 00:44:12.699 --> 00:44:13.079 pride. 00:44:13.920 --> 00:44:14.500 But I 00:44:14.500 --> 00:44:15.259 find that 00:44:15.259 --> 00:44:16.239 when they're 00:44:16.239 --> 00:44:17.480 clearly, or 00:44:17.480 --> 00:44:18.099 something isn't 00:44:18.099 --> 00:44:18.759 going right, 00:44:18.820 --> 00:44:19.199 like they 00:44:19.199 --> 00:44:20.219 lose a job or 00:44:20.219 --> 00:44:20.699 something like 00:44:20.699 --> 00:44:21.480 that, the 00:44:21.480 --> 00:44:22.299 delusions kick 00:44:22.299 --> 00:44:22.599 in. 00:44:23.559 --> 00:44:25.119 Because they're 00:44:25.119 --> 00:44:27.219 rationalizing 00:44:27.219 --> 00:44:29.719 their problems 00:44:29.719 --> 00:44:30.639 outside of 00:44:30.639 --> 00:44:32.779 them in a 00:44:32.779 --> 00:44:33.139 way that's 00:44:33.139 --> 00:44:33.739 increasingly 00:44:33.739 --> 00:44:34.440 irrational. 00:44:34.440 --> 00:44:36.659 that's still 00:44:36.659 --> 00:44:37.460 my stuff. 00:44:38.480 --> 00:44:39.260 She's able to 00:44:39.260 --> 00:44:39.619 function. 00:44:40.139 --> 00:44:40.679 She can hold 00:44:40.679 --> 00:44:41.139 a job. 00:44:41.440 --> 00:44:41.920 Right now 00:44:41.920 --> 00:44:43.079 she's between 00:44:43.079 --> 00:44:43.880 jobs, she's 00:44:43.880 --> 00:44:44.340 looking for a 00:44:44.340 --> 00:44:44.780 job, and I 00:44:44.780 --> 00:44:45.240 can almost 00:44:45.240 --> 00:44:46.539 tell when she 00:44:46.539 --> 00:44:47.619 got an offer 00:44:47.619 --> 00:44:48.159 and when she 00:44:48.159 --> 00:44:49.360 has an interview 00:44:49.360 --> 00:44:49.679 and when she 00:44:49.679 --> 00:44:50.059 doesn't, it 00:44:50.059 --> 00:44:50.340 makes them 00:44:50.340 --> 00:44:50.599 what she 00:44:50.599 --> 00:44:51.059 sends them. 00:44:51.579 --> 00:44:51.920 It has 00:44:51.920 --> 00:44:52.400 nothing to do 00:44:52.400 --> 00:44:52.920 with work. 00:44:53.780 --> 00:44:54.139 It has to 00:44:54.139 --> 00:44:55.159 do with the 00:44:55.159 --> 00:44:55.700 level and 00:44:55.700 --> 00:44:56.639 intensity of 00:44:56.639 --> 00:44:57.360 those who 00:44:57.360 --> 00:44:57.880 are after 00:44:57.880 --> 00:44:58.639 her, who 00:44:58.639 --> 00:44:59.099 are paranoid. 00:45:00.420 --> 00:45:01.980 For me, the 00:45:01.980 --> 00:45:02.500 basic thing to 00:45:02.500 --> 00:45:03.059 do is keep 00:45:03.059 --> 00:45:03.559 her in the 00:45:03.559 --> 00:45:04.200 church, keep 00:45:04.199 --> 00:45:05.299 her, let's 00:45:05.299 --> 00:45:06.199 help the 00:45:06.199 --> 00:45:06.839 church community 00:45:06.839 --> 00:45:07.159 become a 00:45:07.159 --> 00:45:07.559 place where 00:45:07.559 --> 00:45:08.039 a delusional 00:45:08.039 --> 00:45:08.759 person can 00:45:08.759 --> 00:45:09.819 be saved. 00:45:11.460 --> 00:45:11.960 I'm not 00:45:11.960 --> 00:45:12.119 going to 00:45:12.119 --> 00:45:12.559 solve it. 00:45:14.299 --> 00:45:14.919 God can 00:45:14.919 --> 00:45:15.519 deal with 00:45:15.519 --> 00:45:15.659 it. 00:45:16.799 --> 00:45:19.699 So that's 00:45:19.699 --> 00:45:19.939 what we have 00:45:19.939 --> 00:45:20.159 to do. 00:45:20.279 --> 00:45:20.419 We have 00:45:20.419 --> 00:45:20.879 people, and 00:45:20.879 --> 00:45:21.239 she doesn't 00:45:21.239 --> 00:45:21.719 know she's 00:45:21.719 --> 00:45:22.019 suffering. 00:45:22.199 --> 00:45:22.539 This all 00:45:22.539 --> 00:45:23.159 makes sense 00:45:23.159 --> 00:45:23.579 to her. 00:45:25.500 --> 00:45:26.819 So she's 00:45:26.819 --> 00:45:27.460 rationalized 00:45:27.460 --> 00:45:28.000 something that's 00:45:28.000 --> 00:45:28.980 irrational, and 00:45:28.980 --> 00:45:30.099 that makes 00:45:30.099 --> 00:45:30.579 sense to her, 00:45:30.619 --> 00:45:30.879 and that's 00:45:30.879 --> 00:45:31.219 how she's 00:45:31.219 --> 00:45:31.859 managing her 00:45:31.859 --> 00:45:32.219 life. 00:45:32.219 --> 00:45:36.859 the mental 00:45:36.859 --> 00:45:37.279 health world 00:45:37.279 --> 00:45:37.579 is very 00:45:37.579 --> 00:45:38.139 complicated, 00:45:38.279 --> 00:45:38.699 convoluted, 00:45:38.759 --> 00:45:39.219 overwhelming. 00:45:40.279 --> 00:45:40.879 An experience 00:45:40.879 --> 00:45:41.519 of short-term 00:45:41.519 --> 00:45:42.399 clarity and 00:45:42.399 --> 00:45:43.159 help, even if 00:45:43.159 --> 00:45:43.419 you get a 00:45:43.419 --> 00:45:44.579 diagnosis, is 00:45:44.579 --> 00:45:45.059 often followed 00:45:45.059 --> 00:45:45.879 by frustration 00:45:45.879 --> 00:45:46.559 and experience 00:45:46.559 --> 00:45:47.399 working in the 00:45:47.399 --> 00:45:47.779 system. 00:45:48.599 --> 00:45:49.019 If medical 00:45:49.019 --> 00:45:49.599 treatment is 00:45:49.599 --> 00:45:50.379 actually helpful, 00:45:50.480 --> 00:45:50.899 it's often 00:45:50.899 --> 00:45:51.659 helpful at the 00:45:51.659 --> 00:45:52.119 expense of 00:45:52.119 --> 00:45:52.619 considerable 00:45:52.619 --> 00:45:53.759 physical side 00:45:53.759 --> 00:45:54.219 effects, 00:45:55.019 --> 00:45:55.899 including parts 00:45:55.899 --> 00:45:56.599 of a personality 00:45:56.599 --> 00:45:57.419 that someone 00:45:57.419 --> 00:45:58.459 likes. 00:45:58.460 --> 00:45:59.559 I was dealing 00:45:59.559 --> 00:45:59.720 with a 00:45:59.720 --> 00:45:59.920 couple of 00:45:59.920 --> 00:46:00.519 actually friends 00:46:00.519 --> 00:46:00.900 of mine, 00:46:01.780 --> 00:46:02.679 and the 00:46:02.679 --> 00:46:03.300 husband was 00:46:03.300 --> 00:46:04.240 a gifted, 00:46:04.380 --> 00:46:04.920 he passed away 00:46:04.920 --> 00:46:05.519 cancer a few 00:46:05.519 --> 00:46:05.840 years ago, 00:46:05.900 --> 00:46:06.820 but he was 00:46:06.820 --> 00:46:07.460 a very gifted 00:46:07.460 --> 00:46:07.840 artist. 00:46:07.980 --> 00:46:08.340 He was a 00:46:08.340 --> 00:46:08.800 photographer, 00:46:09.000 --> 00:46:09.260 he was a 00:46:09.260 --> 00:46:09.619 musician, 00:46:10.079 --> 00:46:10.760 very gifted, 00:46:11.139 --> 00:46:11.579 struggled with 00:46:11.579 --> 00:46:11.960 depression, 00:46:12.559 --> 00:46:13.220 as creative 00:46:13.220 --> 00:46:13.800 people sometimes 00:46:13.800 --> 00:46:14.119 do. 00:46:14.960 --> 00:46:17.019 And so he 00:46:17.019 --> 00:46:17.720 was being 00:46:17.720 --> 00:46:18.220 medicated, 00:46:18.400 --> 00:46:18.900 and I met 00:46:18.900 --> 00:46:19.380 with them 00:46:19.380 --> 00:46:20.280 because the 00:46:20.280 --> 00:46:20.860 deliverance 00:46:20.860 --> 00:46:21.679 was this. 00:46:22.139 --> 00:46:22.639 He wanted 00:46:22.639 --> 00:46:23.179 to come off 00:46:23.179 --> 00:46:23.880 his medication, 00:46:23.880 --> 00:46:25.900 and they 00:46:25.900 --> 00:46:26.599 had kids, 00:46:27.019 --> 00:46:27.720 and he was 00:46:27.720 --> 00:46:28.900 saying, 00:46:29.300 --> 00:46:29.900 he was saying, 00:46:30.019 --> 00:46:30.500 I need to 00:46:30.500 --> 00:46:30.940 get off my 00:46:30.940 --> 00:46:31.860 medication because 00:46:31.860 --> 00:46:32.260 it's just 00:46:32.260 --> 00:46:32.960 dulling me, 00:46:33.019 --> 00:46:33.420 I have no 00:46:33.420 --> 00:46:34.559 creative energy, 00:46:34.700 --> 00:46:35.000 I know, 00:46:35.380 --> 00:46:35.900 I just, 00:46:36.200 --> 00:46:36.960 I can't do 00:46:36.960 --> 00:46:37.740 my job. 00:46:39.000 --> 00:46:39.640 And she 00:46:39.640 --> 00:46:40.119 was saying, 00:46:40.220 --> 00:46:40.579 but if you 00:46:40.579 --> 00:46:41.019 get off your 00:46:41.019 --> 00:46:41.579 medication, 00:46:41.740 --> 00:46:42.059 it's going to 00:46:42.059 --> 00:46:42.820 create havoc 00:46:42.820 --> 00:46:43.660 in our home, 00:46:45.180 --> 00:46:46.579 and your 00:46:46.579 --> 00:46:47.099 kids won't 00:46:47.099 --> 00:46:47.579 know who 00:46:47.579 --> 00:46:48.160 you are. 00:46:49.220 --> 00:46:49.539 And he 00:46:49.539 --> 00:46:49.900 was saying, 00:46:50.000 --> 00:46:50.400 but I don't 00:46:50.400 --> 00:46:50.760 think they 00:46:50.760 --> 00:46:51.360 know who I 00:46:51.360 --> 00:46:51.940 am right now, 00:46:52.000 --> 00:46:52.700 they only know 00:46:52.700 --> 00:46:53.440 the medication. 00:46:53.880 --> 00:46:56.079 And so 00:46:56.079 --> 00:46:56.559 these things 00:46:56.559 --> 00:46:57.420 are complicated 00:46:57.420 --> 00:46:58.320 relationships, 00:46:59.360 --> 00:46:59.780 and we 00:46:59.780 --> 00:47:00.079 want to be 00:47:00.079 --> 00:47:00.740 careful not 00:47:00.740 --> 00:47:01.140 to just 00:47:01.140 --> 00:47:01.539 treat it 00:47:01.539 --> 00:47:01.900 like it's 00:47:01.900 --> 00:47:02.320 medicine, 00:47:02.480 --> 00:47:03.099 it's medicine 00:47:03.099 --> 00:47:03.579 that has 00:47:03.579 --> 00:47:04.220 significant 00:47:04.220 --> 00:47:05.140 relational 00:47:05.140 --> 00:47:05.880 and personal 00:47:05.880 --> 00:47:06.480 implications. 00:47:07.880 --> 00:47:08.539 We can 00:47:08.539 --> 00:47:08.960 learn from 00:47:08.960 --> 00:47:09.220 the mental 00:47:09.220 --> 00:47:09.840 health world, 00:47:11.280 --> 00:47:12.119 but we 00:47:12.119 --> 00:47:12.920 must hold 00:47:12.920 --> 00:47:13.220 to the 00:47:13.220 --> 00:47:13.860 categories of 00:47:13.860 --> 00:47:14.099 scripture 00:47:14.099 --> 00:47:14.539 for our 00:47:14.539 --> 00:47:14.800 fundamental 00:47:14.800 --> 00:47:15.460 understanding 00:47:15.460 --> 00:47:16.000 of human 00:47:16.000 --> 00:47:16.539 predicament. 00:47:16.619 --> 00:47:16.860 I love 00:47:16.860 --> 00:47:17.920 what Ed 00:47:17.920 --> 00:47:18.440 Welch said 00:47:18.440 --> 00:47:18.640 here, 00:47:18.740 --> 00:47:18.980 it's his 00:47:18.980 --> 00:47:19.320 quote, 00:47:20.160 --> 00:47:20.480 we are 00:47:20.480 --> 00:47:20.900 created 00:47:20.900 --> 00:47:21.720 of physical, 00:47:22.360 --> 00:47:22.940 also known 00:47:22.940 --> 00:47:23.380 as body, 00:47:23.380 --> 00:47:24.280 flesh members, 00:47:24.619 --> 00:47:25.240 and spiritual 00:47:25.240 --> 00:47:25.860 substance, 00:47:26.059 --> 00:47:26.400 mind, 00:47:26.579 --> 00:47:26.780 soul, 00:47:26.900 --> 00:47:27.200 spirit, 00:47:27.420 --> 00:47:27.800 heart, 00:47:27.920 --> 00:47:28.340 inner person. 00:47:28.420 --> 00:47:28.640 These are 00:47:28.640 --> 00:47:29.460 all biblical 00:47:29.460 --> 00:47:30.000 categories. 00:47:30.900 --> 00:47:31.280 Scripture 00:47:31.280 --> 00:47:32.000 speaks of 00:47:32.000 --> 00:47:32.640 the soul 00:47:32.640 --> 00:47:33.420 and heart 00:47:33.420 --> 00:47:34.160 as guiding 00:47:34.160 --> 00:47:34.820 us by the 00:47:34.820 --> 00:47:35.360 way of its 00:47:35.360 --> 00:47:36.200 affections and 00:47:36.200 --> 00:47:36.780 allegiances. 00:47:36.780 --> 00:47:37.380 body. 00:47:37.380 --> 00:47:38.080 It's 00:47:38.080 --> 00:47:39.900 activity is 00:47:39.900 --> 00:47:40.720 identified as 00:47:40.720 --> 00:47:41.400 disobedience, 00:47:41.720 --> 00:47:43.280 godly or 00:47:43.280 --> 00:47:43.860 ungodly. 00:47:44.500 --> 00:47:45.960 The body is 00:47:45.960 --> 00:47:46.580 the material 00:47:46.580 --> 00:47:47.800 equipment for 00:47:47.800 --> 00:47:48.400 living in the 00:47:48.400 --> 00:47:49.180 material world. 00:47:49.900 --> 00:47:50.680 It is never 00:47:50.680 --> 00:47:51.780 identified as 00:47:51.780 --> 00:47:52.360 right or 00:47:52.360 --> 00:47:53.640 wrong, but as 00:47:53.640 --> 00:47:54.560 strong or weak. 00:47:55.460 --> 00:47:55.720 Mental 00:47:55.720 --> 00:47:56.580 illnesses, in 00:47:56.580 --> 00:47:57.160 other words, 00:47:57.220 --> 00:47:57.760 can be broken 00:47:57.760 --> 00:47:58.519 down into more 00:47:58.519 --> 00:47:59.640 elemental categories. 00:48:00.260 --> 00:48:00.880 They sense the 00:48:00.880 --> 00:48:02.380 intersection of 00:48:02.380 --> 00:48:03.320 the human heart 00:48:03.320 --> 00:48:04.120 and an erratic 00:48:04.120 --> 00:48:04.519 brain. 00:48:04.519 --> 00:48:06.420 A basic 00:48:06.420 --> 00:48:07.259 rule for this 00:48:07.259 --> 00:48:07.800 ontological 00:48:07.800 --> 00:48:09.519 duality is that 00:48:09.519 --> 00:48:10.360 the body can 00:48:10.360 --> 00:48:11.420 make life very 00:48:11.420 --> 00:48:13.159 complicated, but 00:48:13.159 --> 00:48:13.860 it can neither 00:48:13.860 --> 00:48:15.940 make us sin nor 00:48:15.940 --> 00:48:16.880 in most cases 00:48:16.880 --> 00:48:17.559 keep us from 00:48:17.559 --> 00:48:18.440 following Jesus. 00:48:19.340 --> 00:48:20.159 With this woman 00:48:20.159 --> 00:48:20.940 who's delusional, 00:48:21.579 --> 00:48:22.360 the way I help 00:48:22.360 --> 00:48:22.940 her is I say, 00:48:23.019 --> 00:48:23.480 what does it mean 00:48:23.480 --> 00:48:24.139 for you to follow 00:48:24.139 --> 00:48:24.599 Jesus? 00:48:25.360 --> 00:48:26.259 I don't question, 00:48:26.920 --> 00:48:27.380 I just say, 00:48:27.440 --> 00:48:27.940 what does it mean? 00:48:28.199 --> 00:48:29.059 How do you love 00:48:29.059 --> 00:48:29.539 your neighbor? 00:48:29.539 --> 00:48:30.759 Who are your 00:48:30.759 --> 00:48:31.460 enemies in this 00:48:31.460 --> 00:48:31.980 situation? 00:48:32.199 --> 00:48:32.820 How do you love 00:48:32.820 --> 00:48:33.039 them? 00:48:33.679 --> 00:48:34.300 How is God 00:48:34.300 --> 00:48:35.159 caring for you? 00:48:36.279 --> 00:48:37.119 And if I get 00:48:37.119 --> 00:48:38.139 her locked onto 00:48:38.139 --> 00:48:39.519 that, the 00:48:39.519 --> 00:48:40.639 delusions dissipate. 00:48:42.619 --> 00:48:43.820 Because now she 00:48:43.820 --> 00:48:44.800 has answers for 00:48:44.800 --> 00:48:45.239 things, because 00:48:45.239 --> 00:48:45.699 they're not really 00:48:45.699 --> 00:48:47.340 true, and because 00:48:47.340 --> 00:48:48.039 they're not true, 00:48:48.179 --> 00:48:48.739 she doesn't have 00:48:48.739 --> 00:48:49.219 substantive 00:48:49.219 --> 00:48:50.579 experience to keep 00:48:50.579 --> 00:48:51.400 on drawing from. 00:48:51.860 --> 00:48:52.860 They're created in 00:48:52.860 --> 00:48:53.539 her mind and they 00:48:53.539 --> 00:48:54.440 dissipate, but they 00:48:54.440 --> 00:48:55.519 need help. 00:48:56.300 --> 00:48:57.239 Truth helps 00:48:57.239 --> 00:48:58.159 dissipate the 00:48:58.159 --> 00:48:58.519 delusion. 00:48:58.519 --> 00:49:00.659 And she 00:49:00.659 --> 00:49:02.380 centers herself 00:49:02.380 --> 00:49:02.759 in there. 00:49:06.000 --> 00:49:07.860 If you're really 00:49:07.860 --> 00:49:08.519 interested in 00:49:08.519 --> 00:49:09.400 helping people who 00:49:09.400 --> 00:49:10.059 are circling in 00:49:10.059 --> 00:49:10.860 these areas of 00:49:10.860 --> 00:49:11.980 mental disorders, 00:49:13.119 --> 00:49:14.360 you should be 00:49:14.360 --> 00:49:15.460 familiar with the 00:49:15.460 --> 00:49:16.019 language and 00:49:16.019 --> 00:49:16.840 terminology, but 00:49:16.840 --> 00:49:17.300 you should be 00:49:17.300 --> 00:49:18.000 familiar like 00:49:18.000 --> 00:49:19.380 someone who is 00:49:19.380 --> 00:49:20.159 part of another 00:49:20.159 --> 00:49:20.900 culture, who's 00:49:20.900 --> 00:49:21.400 going to a 00:49:21.400 --> 00:49:22.559 culture, learning 00:49:22.559 --> 00:49:23.239 enough of the 00:49:23.239 --> 00:49:24.000 language to be 00:49:24.000 --> 00:49:24.880 able to relate, 00:49:25.460 --> 00:49:26.179 but not 00:49:26.179 --> 00:49:27.360 imbibing the 00:49:27.360 --> 00:49:28.039 languages of 00:49:28.039 --> 00:49:28.639 your own. 00:49:30.679 --> 00:49:31.480 We want to be 00:49:31.480 --> 00:49:32.920 fluent enough to 00:49:32.920 --> 00:49:34.059 speak, but we 00:49:34.059 --> 00:49:35.059 don't want to have 00:49:35.059 --> 00:49:36.719 the language shape 00:49:36.719 --> 00:49:37.460 how we talk. 00:49:37.519 --> 00:49:38.059 We still have a 00:49:38.059 --> 00:49:38.659 different language. 00:49:38.779 --> 00:49:39.360 We have Bible 00:49:39.360 --> 00:49:39.860 language. 00:49:42.380 --> 00:49:43.519 There's no grand 00:49:43.519 --> 00:49:44.860 unifying theory in 00:49:44.860 --> 00:49:45.420 the mental health 00:49:45.420 --> 00:49:45.579 world. 00:49:45.639 --> 00:49:46.340 We have nothing to 00:49:46.340 --> 00:49:47.079 fear as Christians 00:49:47.079 --> 00:49:47.659 that there's some 00:49:47.659 --> 00:49:48.519 of this monolithic 00:49:48.519 --> 00:49:50.400 world of psychology 00:49:50.400 --> 00:49:52.300 that is opposing 00:49:52.300 --> 00:49:52.940 Christianity. 00:49:53.179 --> 00:49:55.500 The reality is the 00:49:55.500 --> 00:49:56.880 Bible world is 00:49:56.880 --> 00:49:58.239 coherent and 00:49:58.239 --> 00:49:59.340 unified and 00:49:59.340 --> 00:49:59.840 grand. 00:50:00.760 --> 00:50:01.099 The world of 00:50:01.099 --> 00:50:01.780 psychology is 00:50:01.780 --> 00:50:03.440 fragmented and 00:50:03.440 --> 00:50:06.119 is cobbling 00:50:06.119 --> 00:50:07.239 together theories 00:50:07.239 --> 00:50:08.000 in response to 00:50:08.000 --> 00:50:08.980 cultural realities 00:50:08.980 --> 00:50:10.260 and those cultural 00:50:10.260 --> 00:50:11.099 realities affecting 00:50:11.099 --> 00:50:11.420 it. 00:50:13.480 --> 00:50:14.480 We wanted to 00:50:14.480 --> 00:50:16.400 help people engage 00:50:16.400 --> 00:50:18.179 this area tethered 00:50:18.179 --> 00:50:18.960 to Christ and 00:50:18.960 --> 00:50:19.599 tethered to the 00:50:19.599 --> 00:50:19.920 church. 00:50:20.420 --> 00:50:22.059 I would love for 00:50:22.059 --> 00:50:23.039 you, because you're 00:50:23.039 --> 00:50:23.679 coming here and 00:50:23.679 --> 00:50:24.339 expressing interest 00:50:24.339 --> 00:50:24.779 in this. 00:50:25.859 --> 00:50:26.419 For you to be 00:50:26.419 --> 00:50:27.019 people, the same 00:50:27.019 --> 00:50:27.739 ones coming into 00:50:27.739 --> 00:50:28.879 your church who 00:50:28.879 --> 00:50:29.919 has been diagnosed 00:50:29.919 --> 00:50:30.839 with something or 00:50:30.839 --> 00:50:31.500 is struggling with 00:50:31.500 --> 00:50:32.940 something, that 00:50:32.940 --> 00:50:33.759 they would find 00:50:33.759 --> 00:50:36.659 safe with you. 00:50:37.539 --> 00:50:38.679 That you'd be able 00:50:38.679 --> 00:50:39.539 to relate to them 00:50:39.539 --> 00:50:40.599 and for the first 00:50:40.599 --> 00:50:42.079 time, maybe I'm 00:50:42.079 --> 00:50:42.960 among Christians 00:50:42.960 --> 00:50:45.019 who don't evaluate 00:50:45.019 --> 00:50:45.500 me. 00:50:46.139 --> 00:50:47.099 You see me as 00:50:47.099 --> 00:50:47.899 more than what I 00:50:47.899 --> 00:50:48.179 am. 00:50:48.919 --> 00:50:49.639 But what other 00:50:49.639 --> 00:50:50.399 people see me? 00:50:51.199 --> 00:50:52.079 Any disability, 00:50:52.279 --> 00:50:52.480 really. 00:50:52.480 --> 00:50:53.679 But middle 00:50:53.679 --> 00:50:55.400 disability, which 00:50:55.400 --> 00:50:55.980 can often be 00:50:55.980 --> 00:50:56.820 hidden in first 00:50:56.820 --> 00:50:58.740 notice, that 00:50:58.740 --> 00:50:59.300 they would be 00:50:59.300 --> 00:50:59.740 able to find 00:50:59.740 --> 00:51:00.300 in people who 00:51:00.300 --> 00:51:01.500 say, they receive 00:51:01.500 --> 00:51:01.780 me. 00:51:02.300 --> 00:51:02.940 They need 00:51:02.940 --> 00:51:03.639 something more 00:51:03.639 --> 00:51:04.159 than what they're 00:51:04.159 --> 00:51:04.380 given. 00:51:05.179 --> 00:51:05.920 They need Jesus. 00:51:06.579 --> 00:51:07.059 They need the 00:51:07.059 --> 00:51:07.420 gospel. 00:51:08.099 --> 00:51:08.860 They need the 00:51:08.860 --> 00:51:09.679 word of truth 00:51:09.679 --> 00:51:10.599 to reorient their 00:51:10.599 --> 00:51:11.159 lives. 00:51:12.240 --> 00:51:12.820 So their 00:51:12.820 --> 00:51:13.760 struggle can 00:51:13.760 --> 00:51:14.380 look more like 00:51:14.380 --> 00:51:14.800 what every 00:51:14.800 --> 00:51:16.539 other believer 00:51:16.539 --> 00:51:16.980 struggles. 00:51:17.719 --> 00:51:18.420 The struggle 00:51:18.420 --> 00:51:19.260 for sanctification. 00:51:19.260 --> 00:51:20.920 At some 00:51:20.920 --> 00:51:21.940 point, for 00:51:21.940 --> 00:51:22.440 someone to 00:51:22.440 --> 00:51:24.420 work through 00:51:24.420 --> 00:51:25.560 mental illness 00:51:25.560 --> 00:51:26.520 and diagnoses, 00:51:27.500 --> 00:51:28.180 they need the 00:51:28.180 --> 00:51:28.640 doctrine of 00:51:28.640 --> 00:51:29.320 sanctification. 00:51:30.420 --> 00:51:30.920 That they are 00:51:30.920 --> 00:51:34.820 being recreated 00:51:34.820 --> 00:51:35.780 from the inside. 00:51:36.540 --> 00:51:37.080 That God is 00:51:37.080 --> 00:51:37.580 working with the 00:51:37.580 --> 00:51:38.300 deepest level of 00:51:38.300 --> 00:51:38.700 the heart. 00:51:39.520 --> 00:51:41.100 That's going to 00:51:41.100 --> 00:51:42.000 go from inward 00:51:42.000 --> 00:51:42.540 to outward. 00:51:43.360 --> 00:51:44.080 I see it with 00:51:44.080 --> 00:51:44.740 addicts all the 00:51:44.740 --> 00:51:45.060 time. 00:51:45.660 --> 00:51:46.260 I see it with 00:51:46.260 --> 00:51:46.580 people who 00:51:46.580 --> 00:51:46.960 struggle with 00:51:46.960 --> 00:51:47.360 mental health 00:51:47.360 --> 00:51:47.800 issues all 00:51:47.800 --> 00:51:47.980 the time. 00:51:48.039 --> 00:51:48.240 I had a 00:51:48.240 --> 00:51:48.620 woman up 00:51:48.620 --> 00:51:48.980 close with 00:51:48.980 --> 00:51:49.220 this. 00:51:50.019 --> 00:51:50.420 But it's 00:51:50.420 --> 00:51:51.460 25 years 00:51:51.460 --> 00:51:51.760 ago. 00:51:52.200 --> 00:51:52.660 She came to 00:51:52.660 --> 00:51:52.980 our church. 00:51:53.120 --> 00:51:53.440 She had 00:51:53.440 --> 00:51:54.539 six different 00:51:54.539 --> 00:51:54.860 dives. 00:51:55.980 --> 00:51:56.760 She was a 00:51:56.760 --> 00:51:57.099 mess. 00:51:57.220 --> 00:51:58.579 She was all 00:51:58.579 --> 00:51:58.920 loaded. 00:51:59.500 --> 00:52:00.140 Depending on 00:52:00.140 --> 00:52:00.480 the day, 00:52:00.579 --> 00:52:01.019 what you got 00:52:01.019 --> 00:52:01.420 from her, 00:52:02.000 --> 00:52:02.700 personalities, 00:52:02.880 --> 00:52:03.360 all kinds of 00:52:03.360 --> 00:52:03.780 things going 00:52:03.780 --> 00:52:04.079 on. 00:52:05.240 --> 00:52:05.940 But she had 00:52:05.940 --> 00:52:06.519 very loving 00:52:06.519 --> 00:52:07.440 friends, and 00:52:07.440 --> 00:52:07.880 they just 00:52:07.880 --> 00:52:08.559 didn't. 00:52:09.140 --> 00:52:09.800 They just 00:52:09.800 --> 00:52:10.579 didn't let 00:52:10.579 --> 00:52:11.660 her craziness 00:52:11.660 --> 00:52:13.660 drive them 00:52:13.660 --> 00:52:14.000 away. 00:52:14.780 --> 00:52:15.340 But they 00:52:15.340 --> 00:52:15.780 also didn't 00:52:15.780 --> 00:52:16.360 let her 00:52:16.360 --> 00:52:17.079 craziness 00:52:17.079 --> 00:52:19.299 control. 00:52:19.500 --> 00:52:21.119 They loved 00:52:21.119 --> 00:52:21.420 her as 00:52:21.420 --> 00:52:21.860 a sister, 00:52:22.000 --> 00:52:22.259 which meant 00:52:22.259 --> 00:52:22.719 they also 00:52:22.719 --> 00:52:22.980 brought 00:52:22.980 --> 00:52:25.319 confrontation, 00:52:25.659 --> 00:52:25.880 but they 00:52:25.880 --> 00:52:26.099 brought 00:52:26.099 --> 00:52:26.559 encouragement. 00:52:27.319 --> 00:52:28.319 Over time, 00:52:28.579 --> 00:52:28.900 you just 00:52:28.900 --> 00:52:29.380 started to 00:52:29.380 --> 00:52:30.179 see change. 00:52:31.400 --> 00:52:32.980 And it 00:52:32.980 --> 00:52:33.259 was so 00:52:33.259 --> 00:52:33.779 subtle that 00:52:33.779 --> 00:52:34.400 you'd 00:52:34.400 --> 00:52:34.719 sometimes 00:52:34.719 --> 00:52:35.360 forget about 00:52:35.360 --> 00:52:35.579 it. 00:52:36.500 --> 00:52:37.819 And on 00:52:37.819 --> 00:52:38.239 the first 00:52:38.239 --> 00:52:38.679 day, and 00:52:38.679 --> 00:52:38.920 I still 00:52:38.920 --> 00:52:39.199 have it 00:52:39.199 --> 00:52:39.400 in my 00:52:39.400 --> 00:52:39.699 office, 00:52:40.420 --> 00:52:40.960 she brought 00:52:40.960 --> 00:52:41.400 me a 00:52:41.400 --> 00:52:41.960 framed 00:52:41.960 --> 00:52:43.179 letter 00:52:43.179 --> 00:52:44.279 from her 00:52:44.279 --> 00:52:44.920 psychiatrist 00:52:44.920 --> 00:52:45.460 saying, 00:52:45.579 --> 00:52:45.900 you no 00:52:45.900 --> 00:52:46.440 longer need 00:52:46.440 --> 00:52:46.940 medication. 00:52:47.079 --> 00:52:48.940 We had 00:52:48.940 --> 00:52:49.179 loving 00:52:49.179 --> 00:52:49.400 else 00:52:49.400 --> 00:52:49.559 that's 00:52:49.559 --> 00:52:49.799 true. 00:52:50.940 --> 00:52:51.239 And she 00:52:51.239 --> 00:52:51.500 would say 00:52:51.500 --> 00:52:51.819 this has 00:52:51.819 --> 00:52:52.079 just 00:52:52.079 --> 00:52:52.440 become 00:52:52.440 --> 00:52:52.799 deep. 00:52:54.340 --> 00:52:55.059 So I'm 00:52:55.059 --> 00:52:55.420 not saying 00:52:55.420 --> 00:52:56.059 that Jesus 00:52:56.059 --> 00:52:56.579 heals all 00:52:56.579 --> 00:52:56.940 the same 00:52:56.940 --> 00:52:57.159 way. 00:52:57.299 --> 00:52:57.519 People, 00:52:58.739 --> 00:52:59.019 Charles 00:52:59.019 --> 00:52:59.420 Spurgeon 00:52:59.420 --> 00:52:59.900 dealt 00:52:59.900 --> 00:53:00.179 with 00:53:00.179 --> 00:53:00.779 progression 00:53:00.779 --> 00:53:01.460 through the 00:53:01.460 --> 00:53:01.679 end of 00:53:01.679 --> 00:53:02.179 his life. 00:53:03.239 --> 00:53:03.699 Luther 00:53:03.699 --> 00:53:04.699 most likely 00:53:04.699 --> 00:53:04.960 dealt 00:53:04.960 --> 00:53:05.219 with it 00:53:05.219 --> 00:53:05.460 through the 00:53:05.460 --> 00:53:05.619 end of 00:53:05.619 --> 00:53:06.099 his life. 00:53:07.219 --> 00:53:07.659 Christians 00:53:07.659 --> 00:53:07.900 will 00:53:07.900 --> 00:53:08.219 struggle 00:53:08.219 --> 00:53:08.420 with 00:53:08.420 --> 00:53:08.619 these 00:53:08.619 --> 00:53:08.960 things. 00:53:11.119 --> 00:53:11.400 But 00:53:11.400 --> 00:53:12.480 God is 00:53:12.480 --> 00:53:13.400 a sanctifying, 00:53:13.599 --> 00:53:14.179 loving God. 00:53:14.380 --> 00:53:14.699 He is 00:53:14.699 --> 00:53:15.299 caring for 00:53:15.300 --> 00:53:15.740 his 00:53:15.740 --> 00:53:16.080 children. 00:53:17.180 --> 00:53:17.519 And he's 00:53:17.519 --> 00:53:18.240 inviting to 00:53:18.240 --> 00:53:18.780 see more 00:53:18.780 --> 00:53:19.660 of his life 00:53:19.660 --> 00:53:19.880 here. 00:53:20.080 --> 00:53:22.360 So that's 00:53:22.360 --> 00:53:22.840 it for this 00:53:22.840 --> 00:53:23.120 session. 00:53:23.220 --> 00:53:23.800 Any questions 00:53:23.800 --> 00:53:24.360 before we 00:53:24.360 --> 00:53:25.160 take 00:53:25.160 --> 00:53:25.380 time? 00:53:25.940 --> 00:53:26.160 Yeah, 00:53:26.300 --> 00:53:26.980 just out of 00:53:26.980 --> 00:53:27.500 curiosity 00:53:27.500 --> 00:53:28.140 when, 00:53:28.519 --> 00:53:28.980 for example, 00:53:29.100 --> 00:53:29.880 either if the 00:53:29.880 --> 00:53:30.360 church member 00:53:30.360 --> 00:53:30.980 bring up, 00:53:31.039 --> 00:53:31.340 they have 00:53:31.340 --> 00:53:32.039 their diagnosis, 00:53:32.300 --> 00:53:33.160 or if you 00:53:33.160 --> 00:53:33.680 notice there 00:53:33.680 --> 00:53:33.960 are some 00:53:33.960 --> 00:53:34.880 symptoms on 00:53:34.880 --> 00:53:35.180 them, 00:53:35.620 --> 00:53:36.400 what is your 00:53:36.400 --> 00:53:37.900 advice on how 00:53:37.900 --> 00:53:38.380 we should 00:53:38.380 --> 00:53:39.160 interact with 00:53:39.160 --> 00:53:39.320 them? 00:53:39.320 --> 00:53:39.880 Is it more 00:53:39.880 --> 00:53:40.740 if we just 00:53:40.740 --> 00:53:41.480 be there to 00:53:41.480 --> 00:53:42.060 accompany, 00:53:42.059 --> 00:53:42.619 to listen? 00:53:42.880 --> 00:53:43.279 Or we 00:53:43.279 --> 00:53:43.900 should bring 00:53:43.900 --> 00:53:44.380 out some 00:53:44.380 --> 00:53:44.920 solution. 00:53:46.380 --> 00:53:46.699 Yeah. 00:53:46.840 --> 00:53:47.179 That's 00:53:47.179 --> 00:53:47.579 ways to 00:53:47.579 --> 00:53:47.960 do it. 00:53:48.380 --> 00:53:49.019 We'll talk 00:53:49.019 --> 00:53:49.320 a little bit 00:53:49.320 --> 00:53:50.599 about what 00:53:50.599 --> 00:53:51.840 someone uses 00:53:51.840 --> 00:53:53.000 diagnostic language 00:53:53.000 --> 00:53:53.579 and it depends 00:53:53.579 --> 00:53:53.840 on what 00:53:53.840 --> 00:53:54.219 they're saying. 00:53:54.320 --> 00:53:54.599 One of the 00:53:54.599 --> 00:53:54.860 things you're 00:53:54.860 --> 00:53:55.420 doing is you 00:53:55.420 --> 00:53:56.500 want to be 00:53:56.500 --> 00:53:57.719 conversational so 00:53:57.719 --> 00:53:58.219 that you have 00:53:58.219 --> 00:53:58.920 a better idea. 00:53:59.500 --> 00:54:00.159 They're saying, 00:54:00.599 --> 00:54:01.059 you know, 00:54:01.480 --> 00:54:02.400 I started with 00:54:02.400 --> 00:54:02.779 depression. 00:54:04.099 --> 00:54:04.759 They haven't 00:54:04.759 --> 00:54:05.299 really told 00:54:05.299 --> 00:54:06.139 you anything 00:54:06.139 --> 00:54:08.099 yet that can 00:54:08.099 --> 00:54:08.799 really help you 00:54:08.799 --> 00:54:09.440 understand what 00:54:09.440 --> 00:54:09.900 they're talking 00:54:09.900 --> 00:54:11.780 about at 00:54:11.780 --> 00:54:12.280 that point. 00:54:13.099 --> 00:54:13.240 So, 00:54:13.680 --> 00:54:14.539 you know, 00:54:14.619 --> 00:54:15.280 conversation. 00:54:15.619 --> 00:54:17.099 And so 00:54:17.099 --> 00:54:18.000 conversation 00:54:18.000 --> 00:54:18.619 in seconds. 00:54:20.440 --> 00:54:22.400 And if 00:54:22.400 --> 00:54:23.200 they're just 00:54:23.200 --> 00:54:23.980 describing the 00:54:23.980 --> 00:54:24.539 diagnosis, 00:54:25.579 --> 00:54:25.900 and you 00:54:25.900 --> 00:54:26.420 relate to 00:54:26.420 --> 00:54:26.660 them, 00:54:27.240 --> 00:54:27.880 it's just 00:54:27.880 --> 00:54:28.320 a part of 00:54:28.320 --> 00:54:28.519 who they 00:54:28.519 --> 00:54:28.780 are. 00:54:30.559 --> 00:54:31.280 If you 00:54:31.280 --> 00:54:32.420 see behaviors 00:54:32.420 --> 00:54:34.740 that concern 00:54:34.740 --> 00:54:35.059 you, 00:54:35.820 --> 00:54:36.240 particularly 00:54:36.240 --> 00:54:36.900 suicidal 00:54:36.900 --> 00:54:37.340 behaviors, 00:54:38.039 --> 00:54:38.240 you know, 00:54:38.320 --> 00:54:38.559 harm 00:54:38.559 --> 00:54:39.099 yourself or 00:54:39.099 --> 00:54:39.400 others, 00:54:39.900 --> 00:54:40.460 then I 00:54:40.460 --> 00:54:41.400 think you 00:54:41.400 --> 00:54:41.760 need to 00:54:41.760 --> 00:54:42.000 get a 00:54:42.000 --> 00:54:42.300 pastor 00:54:42.300 --> 00:54:42.680 involved. 00:54:42.880 --> 00:54:43.119 You need 00:54:43.119 --> 00:54:43.340 to, 00:54:43.700 --> 00:54:44.039 how do 00:54:44.039 --> 00:54:44.460 you do 00:54:44.460 --> 00:54:44.619 it? 00:54:44.660 --> 00:54:44.900 I want 00:54:44.900 --> 00:54:45.079 to make 00:54:45.079 --> 00:54:45.220 sure 00:54:45.220 --> 00:54:47.019 safety for 00:54:47.019 --> 00:54:47.400 me or 00:54:47.400 --> 00:54:48.280 others is 00:54:48.280 --> 00:54:48.780 the issue. 00:54:50.260 --> 00:54:51.000 It might 00:54:51.000 --> 00:54:51.539 lead to 00:54:51.539 --> 00:54:52.039 intervention. 00:54:53.760 --> 00:54:54.460 It might 00:54:54.460 --> 00:54:55.079 lead to, 00:54:56.119 --> 00:54:56.619 but it could 00:54:56.619 --> 00:54:57.019 just simply 00:54:57.019 --> 00:54:57.440 lead to, 00:54:57.559 --> 00:54:57.840 have you 00:54:57.840 --> 00:54:58.820 talked to 00:54:58.820 --> 00:54:59.300 your doctor 00:54:59.300 --> 00:54:59.920 about it? 00:55:00.139 --> 00:55:00.300 I've 00:55:00.300 --> 00:55:00.940 noticed this, 00:55:01.039 --> 00:55:01.240 have you 00:55:01.240 --> 00:55:01.519 ever, 00:55:02.320 --> 00:55:02.800 you know, 00:55:03.400 --> 00:55:03.880 developed a 00:55:03.880 --> 00:55:04.300 relationship 00:55:04.300 --> 00:55:04.619 where you 00:55:04.619 --> 00:55:04.960 can bring 00:55:04.960 --> 00:55:05.380 that kind 00:55:05.380 --> 00:55:05.660 of thing 00:55:05.660 --> 00:55:05.940 up? 00:55:06.820 --> 00:55:07.119 A lot 00:55:07.119 --> 00:55:07.300 of people 00:55:07.300 --> 00:55:07.619 live with 00:55:07.619 --> 00:55:08.019 the stigma 00:55:08.019 --> 00:55:08.420 they don't 00:55:08.420 --> 00:55:08.700 want to be 00:55:08.700 --> 00:55:09.119 diagnosed, 00:55:09.119 --> 00:55:09.519 in the 00:55:09.519 --> 00:55:09.960 field. 00:55:11.179 --> 00:55:12.400 And you 00:55:12.400 --> 00:55:13.000 want to 00:55:13.000 --> 00:55:13.440 help them. 00:55:13.759 --> 00:55:14.960 So if 00:55:14.960 --> 00:55:15.500 somebody's, 00:55:15.940 --> 00:55:17.420 if their 00:55:17.420 --> 00:55:18.900 behavior concerns 00:55:18.900 --> 00:55:19.339 you, the 00:55:19.339 --> 00:55:20.259 basic question 00:55:20.259 --> 00:55:21.299 is, 00:55:21.679 --> 00:55:23.199 potential harm 00:55:23.199 --> 00:55:24.039 to self or 00:55:24.039 --> 00:55:24.400 others. 00:55:25.079 --> 00:55:25.619 That's the 00:55:25.619 --> 00:55:26.279 basic thing. 00:55:26.679 --> 00:55:27.359 If we're not 00:55:27.359 --> 00:55:29.179 there, then we 00:55:29.179 --> 00:55:29.719 just do it 00:55:29.719 --> 00:55:30.400 through fellowship. 00:55:30.400 --> 00:55:31.440 fellowship, it 00:55:31.440 --> 00:55:32.039 seems like, 00:55:32.500 --> 00:55:33.200 it seems like 00:55:33.200 --> 00:55:33.420 you have 00:55:33.420 --> 00:55:33.920 these mood 00:55:33.920 --> 00:55:34.619 swings, and 00:55:34.619 --> 00:55:35.280 sometimes you're 00:55:35.280 --> 00:55:35.820 like, have 00:55:35.820 --> 00:55:36.039 you ever 00:55:36.039 --> 00:55:36.619 thought about 00:55:36.619 --> 00:55:36.960 that? 00:55:37.920 --> 00:55:38.579 How do you 00:55:38.579 --> 00:55:39.320 tell me about 00:55:39.320 --> 00:55:39.500 that? 00:55:39.579 --> 00:55:39.780 Tell me. 00:55:40.320 --> 00:55:40.940 What makes 00:55:40.940 --> 00:55:41.579 it high, what 00:55:41.579 --> 00:55:42.280 makes it low? 00:55:43.539 --> 00:55:44.480 You know, and 00:55:44.480 --> 00:55:47.059 I don't ever 00:55:47.059 --> 00:55:47.860 say to somebody, 00:55:48.000 --> 00:55:48.740 I think you may 00:55:48.740 --> 00:55:49.160 be struggling, 00:55:49.320 --> 00:55:49.900 but I don't 00:55:49.900 --> 00:55:50.720 have the ability 00:55:50.720 --> 00:55:51.639 to diagnose. 00:55:51.940 --> 00:55:52.180 I don't 00:55:52.180 --> 00:55:52.539 want to ever 00:55:52.539 --> 00:55:52.800 get a 00:55:52.800 --> 00:55:53.019 loose 00:55:53.019 --> 00:55:53.500 diagnostic 00:55:53.500 --> 00:55:54.119 language. 00:55:54.920 --> 00:55:55.340 But I'll 00:55:55.340 --> 00:55:55.800 talk about 00:55:55.800 --> 00:55:57.160 the experience. 00:55:57.960 --> 00:55:58.340 Have you 00:55:58.340 --> 00:55:58.760 ever talked 00:55:58.760 --> 00:55:59.080 to anybody 00:55:59.080 --> 00:55:59.700 about that? 00:56:00.760 --> 00:56:01.140 And someone 00:56:01.140 --> 00:56:01.580 says, yeah, 00:56:01.860 --> 00:56:02.400 I don't know 00:56:02.400 --> 00:56:02.700 if I want to 00:56:02.700 --> 00:56:03.100 take medication. 00:56:03.420 --> 00:56:04.019 I get that. 00:56:04.240 --> 00:56:04.600 People have 00:56:04.600 --> 00:56:05.039 different ideas 00:56:05.039 --> 00:56:05.680 about medication. 00:56:06.340 --> 00:56:06.660 Some people 00:56:06.660 --> 00:56:07.140 with bipolar 00:56:07.140 --> 00:56:07.620 in particular, 00:56:07.760 --> 00:56:08.039 if it's a 00:56:08.039 --> 00:56:08.560 mild bipolar, 00:56:09.240 --> 00:56:09.780 they don't 00:56:09.780 --> 00:56:10.340 need medication, 00:56:10.500 --> 00:56:10.660 they should 00:56:10.660 --> 00:56:11.080 be very 00:56:11.080 --> 00:56:11.680 conscious of 00:56:11.680 --> 00:56:12.080 sleep. 00:56:13.460 --> 00:56:13.940 Patterns. 00:56:14.220 --> 00:56:14.800 Patterns in 00:56:14.800 --> 00:56:15.300 life do. 00:56:19.700 --> 00:56:20.140 Depression, 00:56:20.320 --> 00:56:20.720 anxiety. 00:56:22.840 --> 00:56:23.700 I get more 00:56:23.700 --> 00:56:24.320 concerned about 00:56:24.320 --> 00:56:25.039 people using 00:56:25.039 --> 00:56:25.620 that kind of 00:56:25.619 --> 00:56:26.299 language to 00:56:26.299 --> 00:56:27.440 describe normal 00:56:27.440 --> 00:56:29.380 human struggle 00:56:29.380 --> 00:56:30.579 than people 00:56:30.579 --> 00:56:31.659 using it 00:56:31.659 --> 00:56:32.500 as if it's 00:56:32.500 --> 00:56:33.099 diagnosis 00:56:33.099 --> 00:56:33.500 and they're 00:56:33.500 --> 00:56:34.319 self-diagnosed. 00:56:36.079 --> 00:56:36.739 So you're 00:56:36.739 --> 00:56:37.259 trying to listen 00:56:37.259 --> 00:56:37.559 to that. 00:56:37.659 --> 00:56:38.599 You don't want 00:56:38.599 --> 00:56:39.420 anybody to feel 00:56:39.420 --> 00:56:39.799 like you're 00:56:39.799 --> 00:56:40.279 evaluating. 00:56:41.679 --> 00:56:42.420 We're always 00:56:42.420 --> 00:56:43.079 coming alongside. 00:56:43.380 --> 00:56:43.719 We're never 00:56:43.719 --> 00:56:45.500 over or 00:56:45.500 --> 00:56:46.279 opposed to. 00:56:46.380 --> 00:56:46.859 We're always 00:56:46.859 --> 00:56:47.699 coming alongside 00:56:47.699 --> 00:56:48.679 and trying to 00:56:48.679 --> 00:56:49.299 relate out 00:56:49.299 --> 00:56:49.859 experience. 00:56:51.000 --> 00:56:51.460 Somebody's 00:56:51.460 --> 00:56:51.880 grieving. 00:56:52.759 --> 00:56:53.339 You'd expect 00:56:53.339 --> 00:56:53.739 depression. 00:56:53.739 --> 00:56:53.799 depression. 00:56:56.079 --> 00:56:56.659 One of the 00:56:56.659 --> 00:56:57.759 things in 00:56:57.759 --> 00:56:58.779 diagnostic 00:56:58.779 --> 00:56:59.239 role right 00:56:59.239 --> 00:56:59.759 now is how 00:56:59.759 --> 00:57:00.019 much 00:57:00.019 --> 00:57:00.579 reading is 00:57:00.579 --> 00:57:01.219 appropriate for 00:57:01.219 --> 00:57:01.699 the foresight 00:57:01.699 --> 00:57:01.979 of us. 00:57:04.479 --> 00:57:05.099 What is 00:57:05.099 --> 00:57:05.419 reading 00:57:05.419 --> 00:57:05.899 unhealthy? 00:57:06.899 --> 00:57:09.679 So all 00:57:09.679 --> 00:57:10.099 those things, 00:57:10.199 --> 00:57:10.559 it's very 00:57:10.559 --> 00:57:11.119 muddy, 00:57:11.119 --> 00:57:12.719 but I 00:57:12.719 --> 00:57:14.099 think it's 00:57:14.099 --> 00:57:15.619 dangerous 00:57:15.619 --> 00:57:16.559 for others 00:57:16.559 --> 00:57:18.199 or behaviors 00:57:18.199 --> 00:57:18.819 that can put 00:57:18.819 --> 00:57:19.299 somebody in a 00:57:19.299 --> 00:57:19.539 vulnerable 00:57:19.539 --> 00:57:20.099 position. 00:57:21.440 --> 00:57:21.859 That's what I'm 00:57:21.859 --> 00:57:22.380 looking for. 00:57:23.880 --> 00:57:24.619 Your point 00:57:24.619 --> 00:57:25.380 about grieving 00:57:25.380 --> 00:57:26.920 kind of made me 00:57:26.920 --> 00:57:27.339 think about this, 00:57:27.420 --> 00:57:27.819 but what do you 00:57:27.819 --> 00:57:28.299 think is the 00:57:28.299 --> 00:57:28.719 biblical 00:57:28.719 --> 00:57:31.880 difference between 00:57:31.880 --> 00:57:32.699 depression and 00:57:32.699 --> 00:57:33.019 sadness? 00:57:33.019 --> 00:57:35.780 Because if 00:57:35.780 --> 00:57:36.400 you're grieving, 00:57:37.079 --> 00:57:37.759 is that sadness 00:57:37.759 --> 00:57:38.219 or is that 00:57:38.219 --> 00:57:38.519 depression? 00:57:39.440 --> 00:57:39.800 Yeah, I 00:57:39.800 --> 00:57:40.619 don't like, 00:57:41.739 --> 00:57:42.759 I like those 00:57:42.759 --> 00:57:43.340 kind of words 00:57:43.340 --> 00:57:43.579 that are 00:57:43.579 --> 00:57:44.039 descriptive, 00:57:44.340 --> 00:57:46.039 not definitive. 00:57:47.039 --> 00:57:47.800 So to me, 00:57:47.940 --> 00:57:48.659 sadness is, 00:57:48.800 --> 00:57:49.340 what is that? 00:57:49.659 --> 00:57:50.039 What are you 00:57:50.039 --> 00:57:50.460 feeling? 00:57:51.119 --> 00:57:52.039 What do you 00:57:52.039 --> 00:57:52.159 think? 00:57:52.500 --> 00:57:54.079 I think the 00:57:54.079 --> 00:57:55.159 sense of loss, 00:57:55.880 --> 00:57:56.519 in some cases 00:57:56.519 --> 00:57:57.119 if someone has, 00:57:57.320 --> 00:57:57.559 you know, 00:57:57.619 --> 00:57:58.079 they've lost 00:57:58.079 --> 00:57:58.599 somebody and 00:57:58.599 --> 00:57:59.219 they have no 00:57:59.219 --> 00:57:59.639 emotion, 00:57:59.880 --> 00:58:01.139 that's a 00:58:01.139 --> 00:58:01.519 concern. 00:58:01.519 --> 00:58:02.719 Right? 00:58:03.340 --> 00:58:04.099 Again, you get 00:58:04.099 --> 00:58:04.759 into this murky 00:58:04.759 --> 00:58:05.559 world of what's 00:58:05.559 --> 00:58:06.099 appropriate, 00:58:06.320 --> 00:58:08.340 what's typical, 00:58:09.239 --> 00:58:10.199 and a lot goes 00:58:10.199 --> 00:58:10.780 into that. 00:58:11.920 --> 00:58:12.840 So I would say 00:58:12.840 --> 00:58:13.920 that when someone 00:58:13.920 --> 00:58:14.719 is, what we 00:58:14.719 --> 00:58:15.860 know about loss, 00:58:16.320 --> 00:58:17.219 particularly loss 00:58:17.219 --> 00:58:17.759 of grief, 00:58:17.900 --> 00:58:18.460 something that, 00:58:19.500 --> 00:58:20.239 not attached to 00:58:20.239 --> 00:58:21.039 a job or 00:58:21.039 --> 00:58:22.400 sometimes relationships, 00:58:22.639 --> 00:58:24.119 but is the, 00:58:25.820 --> 00:58:26.880 you'll see 00:58:26.880 --> 00:58:27.400 sometimes when 00:58:27.400 --> 00:58:28.000 people have 00:58:28.000 --> 00:58:28.739 a significant 00:58:28.739 --> 00:58:29.259 relationship 00:58:29.259 --> 00:58:30.059 to break up, 00:58:30.059 --> 00:58:31.460 the sense 00:58:31.460 --> 00:58:31.900 that I had 00:58:31.900 --> 00:58:32.460 identity, 00:58:32.619 --> 00:58:33.199 that identity 00:58:33.199 --> 00:58:33.480 has been 00:58:33.480 --> 00:58:34.059 taken away. 00:58:34.320 --> 00:58:35.059 It can take 00:58:35.059 --> 00:58:35.659 a while to 00:58:35.659 --> 00:58:36.639 who am I, 00:58:37.199 --> 00:58:37.900 is a fundamental 00:58:37.900 --> 00:58:38.380 issue. 00:58:39.279 --> 00:58:39.559 Whether, 00:58:39.840 --> 00:58:40.659 my mom passed 00:58:40.659 --> 00:58:42.500 away in, 00:58:42.500 --> 00:58:44.139 in January, 00:58:44.699 --> 00:58:45.679 she was 93. 00:58:46.340 --> 00:58:47.299 At that point, 00:58:47.639 --> 00:58:48.639 I was anticipating, 00:58:49.460 --> 00:58:50.179 there's not much 00:58:50.179 --> 00:58:50.719 grief, 00:58:51.099 --> 00:58:51.880 there's memory, 00:58:52.059 --> 00:58:52.880 there's appreciation, 00:58:53.539 --> 00:58:54.059 but I had 00:58:54.059 --> 00:58:54.880 adjusted to it. 00:58:54.880 --> 00:58:55.239 But if you 00:58:55.239 --> 00:58:55.759 lose a, 00:58:55.759 --> 00:58:56.779 a parent 00:58:56.779 --> 00:58:57.380 when they're 00:58:57.380 --> 00:58:58.139 in their 40s 00:58:58.139 --> 00:58:59.159 or in their 50s 00:58:59.159 --> 00:59:00.619 or you lose 00:59:00.619 --> 00:59:00.739 a, 00:59:00.900 --> 00:59:01.920 all those things 00:59:01.920 --> 00:59:03.059 play into it, 00:59:03.099 --> 00:59:03.940 the circumstances 00:59:03.940 --> 00:59:04.559 of grief. 00:59:06.279 --> 00:59:07.239 And usually 00:59:07.239 --> 00:59:07.799 what they look 00:59:07.799 --> 00:59:08.159 for, 00:59:08.519 --> 00:59:09.259 what you don't 00:59:09.259 --> 00:59:09.599 want to do 00:59:09.599 --> 00:59:10.000 is sort of 00:59:10.000 --> 00:59:10.420 say you 00:59:10.420 --> 00:59:10.799 should get 00:59:10.799 --> 00:59:11.359 over it. 00:59:13.879 --> 00:59:14.400 Sometimes 00:59:14.400 --> 00:59:16.019 people draw 00:59:16.019 --> 00:59:16.940 identity from 00:59:16.940 --> 00:59:17.679 grief that 00:59:17.679 --> 00:59:19.059 can be 00:59:19.059 --> 00:59:19.819 unhelpful 00:59:19.819 --> 00:59:20.699 and unhealthy. 00:59:21.819 --> 00:59:22.639 And that's 00:59:22.639 --> 00:59:22.980 where you 00:59:22.980 --> 00:59:23.559 might need 00:59:23.559 --> 00:59:24.799 to say, 00:59:24.920 --> 00:59:25.079 listen, 00:59:25.420 --> 00:59:26.079 how are you 00:59:26.079 --> 00:59:26.879 understanding this? 00:59:26.880 --> 00:59:27.400 How do you, 00:59:28.000 --> 00:59:28.660 where are you 00:59:28.660 --> 00:59:29.660 going with this? 00:59:30.860 --> 00:59:31.220 Could be 00:59:31.220 --> 00:59:31.599 they're angry 00:59:31.599 --> 00:59:32.059 with God. 00:59:32.599 --> 00:59:33.320 Could be 00:59:33.320 --> 00:59:34.119 that they're 00:59:34.119 --> 00:59:34.480 angry with 00:59:34.480 --> 00:59:34.860 the person 00:59:34.860 --> 00:59:35.340 who's gone. 00:59:36.059 --> 00:59:36.619 A lot of 00:59:36.619 --> 00:59:37.440 times grief, 00:59:38.119 --> 00:59:38.579 like real 00:59:38.579 --> 00:59:39.519 intense grief 00:59:39.519 --> 00:59:41.360 and long 00:59:41.360 --> 00:59:42.019 standing grief 00:59:42.019 --> 00:59:42.400 is they're 00:59:42.400 --> 00:59:42.960 angry with 00:59:42.960 --> 00:59:43.380 the person 00:59:43.380 --> 00:59:44.039 who dies. 00:59:45.680 --> 00:59:45.940 And they 00:59:45.940 --> 00:59:46.200 don't have 00:59:46.200 --> 00:59:46.500 a reference 00:59:46.500 --> 00:59:46.980 on that. 00:59:47.720 --> 00:59:48.200 So I think 00:59:48.200 --> 00:59:48.840 grief has 00:59:48.840 --> 00:59:49.260 its own 00:59:49.260 --> 00:59:49.740 rhythms. 00:59:51.180 --> 00:59:51.780 And sadness 00:59:51.780 --> 00:59:52.400 is just a 00:59:52.400 --> 00:59:53.099 description of 00:59:53.099 --> 00:59:53.559 one of the 00:59:53.559 --> 00:59:54.480 experiences that 00:59:54.480 --> 00:59:55.039 can come from 00:59:55.039 --> 00:59:55.460 grief or 00:59:55.460 --> 00:59:56.039 anything else. 00:59:56.880 --> 00:59:57.119 You know. 01:00:00.740 --> 01:00:01.300 Any other 01:00:01.300 --> 01:00:01.559 questions? 01:00:03.640 --> 01:00:04.039 Good. 01:00:04.800 --> 01:00:05.200 Great. 01:00:05.340 --> 01:00:05.579 So we're 01:00:05.579 --> 01:00:05.920 going to, 01:00:06.300 --> 01:00:06.940 after lunch, 01:00:07.079 --> 01:00:07.619 our next 01:00:07.619 --> 01:00:07.940 session will 01:00:07.940 --> 01:00:08.220 be really 01:00:08.220 --> 01:00:08.559 down to 01:00:08.559 --> 01:00:08.920 how do we 01:00:08.920 --> 01:00:09.280 administer. 01:00:10.099 --> 01:00:10.440 How do we 01:00:10.440 --> 01:00:10.640 actually 01:00:10.640 --> 01:00:11.000 administer? 01:00:11.820 --> 01:00:12.320 So I sort of 01:00:12.320 --> 01:00:12.940 give this 01:00:12.940 --> 01:00:13.880 as sort of 01:00:13.880 --> 01:00:14.480 the context 01:00:14.480 --> 01:00:15.180 of people 01:00:15.180 --> 01:00:15.760 living in a 01:00:15.760 --> 01:00:16.380 complex 01:00:16.380 --> 01:00:17.140 mental health 01:00:17.140 --> 01:00:17.599 world and 01:00:17.599 --> 01:00:18.280 how do we 01:00:18.280 --> 01:00:18.539 do that. 01:00:18.539 --> 01:00:18.880 So I 01:00:18.880 --> 01:00:18.880 01:00:18.880 --> 01:00:18.880 01:00:18.880 --> 01:00:18.780 important. 01:00:18.780 --> 01:00:18.880 Thank you. 01:00:18.880 --> 01:00:18.880 01:00:18.880 --> 01:00:18.880